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[急性阑尾炎与阑尾绞痛的鉴别诊断]

[Differential diagnosis of acute appendicitis and appendicular colic].

作者信息

Ozerov V F, Levkovskiĭ S N

出版信息

Vestn Khir Im I I Grek. 1989 Mar;142(3):83-6.

PMID:2750015
Abstract

The use of the bias strategy of the statistical conclusion allows to substantially improve differential diagnostics of acute appendicitis and appendicular colic at the expense of complex account of clinical manifestations as a sum of their diagnostic coefficients. The algorithm of the assessment of the clinical manifestations is characterized by high sensitivity and specificity which allows to avoid missing the diagnosis of acute appendicitis where it takes place and to minimize (not more than 4%) hyperdiagnostics of appendicitis in appendicular colic.

摘要

采用统计结论的偏倚策略,通过综合考虑临床表现及其诊断系数,可显著改善急性阑尾炎和阑尾绞痛的鉴别诊断。临床表现评估算法具有高敏感性和特异性,既能避免漏诊急性阑尾炎,又能将阑尾绞痛时阑尾炎的过度诊断降至最低(不超过4%)。

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