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迈向循证医学:曼彻斯特皇家医院最佳临床实践。BET4:体格检查和实验室数据足以排除儿科创伤患者的腹内损伤吗?

Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 4: is physical exam and laboratory data sufficient to exclude intra-abdominal injury in the paediatric trauma patient?

机构信息

Grand Rapids Medical Education Partners/Michigan State University Grand Rapids, USA.

出版信息

Emerg Med J. 2012 Mar;29(3):258-60. doi: 10.1136/emermed-2012-201100.5.

DOI:10.1136/emermed-2012-201100.5
PMID:22337835
Abstract

A short-cut review was carried out to establish whether physical and laboratory data can exclude intra-abdominal injury in children. A total of 54 papers was found using the reported search, of which three represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is that physical and laboratory data review may decrease the need for abdominal CT in the paediatric population.

摘要

进行了一项快捷系统评价,以确定体格检查和实验室数据能否排除儿童的腹腔内脏损伤。共检索到 54 篇相关文献,其中 3 篇为最佳证据,用以回答上述临床问题。这些最佳文献的作者、发表日期和国家、研究对象、研究类型、相关结局、结果以及研究局限性均列表呈现。临床要点是体格检查和实验室数据评估可能减少儿童行腹部 CT 的需求。

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