Chan M Y P, Tan C, Chiu M T, Ng Y Y
Department of Surgery, Alexandra Hospital, Singapore.
Surgeon. 2003 Feb;1(1):39-41. doi: 10.1016/s1479-666x(03)80007-0.
Appendicitis is an important differential diagnosis in patients with right iliac fossa pain. The diagnosis in patients with equivocal signs can be difficult. Many patients with suspected appendicitis are admitted for observation. We studied the Alvarado scores of 175 patients who presented to the emergency department with right iliac fossa pain and found that patients with scores of 4 or less did not have appendicitis. We also present an algorithm incorporating the Alvarado score for patients with suspected appendicitis.
阑尾炎是右下腹疼痛患者的一项重要鉴别诊断。体征不明确的患者诊断可能会很困难。许多疑似阑尾炎的患者会住院观察。我们研究了175名因右下腹疼痛到急诊科就诊患者的阿尔瓦拉多评分，发现评分在4分及以下的患者没有患阑尾炎。我们还提出了一种针对疑似阑尾炎患者纳入阿尔瓦拉多评分的算法。
