Ann Emerg Med. 2010 Jan;55(1):71-116. doi: 10.1016/j.annemergmed.2009.10.004.
This clinical policy from the American College of Emergency Physicians is an update of a 2000 clinical policy on the evaluation and management of patients presenting with nontraumatic acute abdominal pain.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1)Can clinical findings be used to guide decision making in the risk stratification of patients with possible appendicitis? (2) In adult patients with suspected acute appendicitis who are undergoing a computed tomography scan, what is the role of contrast? (3) In children with suspected acute appendicitis who undergo diagnostic imaging, what are the roles of computed tomography and ultrasound in diagnosing acute appendicitis?Evidence was graded and recommendations were given based on the strength of the available data in the medical literature.
这是美国急诊医师学院的临床政策，是对 2000 年关于评估和管理非创伤性急性腹痛患者的临床政策的更新。1 个写作小组委员会审查了文献，得出了基于证据的建议，以帮助临床医生回答以下关键问题：（1）临床发现可用于指导可能患有阑尾炎的患者的风险分层决策吗？（2）在接受计算机断层扫描的疑似急性阑尾炎的成年患者中，造影剂的作用是什么？（3）在接受诊断性影像学检查的疑似急性阑尾炎的儿童中，计算机断层扫描和超声在诊断急性阑尾炎中的作用是什么？根据医学文献中现有数据的强度对证据进行分级，并给出建议。
