Unverir Pinar, Karcioglu Ozgur
Department of Emergency Medicine, Ozel Ege Saglik Hospital, Universal Hospitals Group, Alsancak, 35220 Izmir, Turkey.
ISRN Toxicol. 2011 Oct 12;2011:702372. doi: 10.5402/2011/702372. Print 2011.
Acute appendicitis (AA) is a common condition which warrants emergency surgery. Detailed history, physical exam, and laboratory findings are often nonspecific in suspected patients. There is substantial evidence to indicate that plasma levels of D-lactate were useful to establish a diagnosis of AA in the medical literature. It has been suggested that it is useful for patients with abdominal pain, especially patients with perforated AA. This paper is designed to highlight the value of D-lactate biomarker in establishing a diagnosis of AA. Based on the literature, it is not helpful for a decision of operation in patients with AA. According to the results of the studies, laboratory involvement was observed between plasma D-lactate level and the final diagnosis of AA, particularly in perforated appendices. It can be considered for routine use in patients with undifferentiated abdominal pain in the emergency department setting.
急性阑尾炎（AA）是一种需要紧急手术的常见病症。详细的病史、体格检查和实验室检查结果在疑似患者中往往不具有特异性。有大量证据表明，在医学文献中，血浆D-乳酸水平有助于AA的诊断。有人提出，它对腹痛患者，尤其是穿孔性AA患者有用。本文旨在强调D-乳酸生物标志物在AA诊断中的价值。根据文献，它对AA患者的手术决策并无帮助。根据研究结果，观察到血浆D-乳酸水平与AA的最终诊断之间存在实验室关联，尤其是在阑尾穿孔的情况下。在急诊科，对于未分化腹痛患者可考虑将其作为常规检查项目。
