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[儿童急性肠系膜淋巴结炎与阑尾炎鉴别诊断的差异]

[Differences in differential diagnosis between acute mesenterial lymphadenitis and appendicitis in children].

作者信息

Shestobuz S V, Bodnar B M, Brozhyk V L, Kukharchuk O L

出版信息

Klin Khir. 2000 Jul(7):39-40.

PMID:11033955
Abstract

The thermal streams intensity (THSI) from definite points of anterior abdominal wall in children with an acute mesenterial lymphadenitis (AML) and an acute appendicitis (AA) were determined. It was established, that in right inguinal region THSI in AA was in 4.06 times higher than in AML, in paraumbilical region--THSI was in 2.78 times, in the left subcostal region--in 1.76 times higher in AML than in AA. In the right subcostal region THSI was higher in an AA. Differential algorithm for AML and AA was determined. In children with an AML the circulating immune complexes level in the blood plasma was by 26.4% higher than such in children with an AA, presenting possible additional differential-diagnostical criterion.

摘要

测定了患有急性肠系膜淋巴结炎(AML)和急性阑尾炎(AA)的儿童前腹壁特定点的热流强度(THSI)。结果表明,在右腹股沟区,AA的THSI比AML高4.06倍;在脐周区域,THSI高2.78倍;在左肋下区域,AML的THSI比AA高1.76倍。在右肋下区域,AA的THSI更高。确定了AML和AA的鉴别算法。AML患儿血浆中循环免疫复合物水平比AA患儿高26.4%,这可能是一个额外的鉴别诊断标准。

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Klin Khir. 2000 Jul(7):39-40.
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