Lipsett Susan C, Bachur Richard G
Staff Physician (Lipsett) and Chief (Bachur), Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
Pediatr Emerg Care. 2017 Mar;33(3):198-203. doi: 10.1097/PEC.0000000000001049.
Concerns about radiation exposure have led to a decrease in the use of computed tomography in suspected appendicitis, with increased reliance on ultrasound. Children with suspected appendicitis should be risk stratified using a combination of clinical signs and symptoms, white blood cell count, and ultrasound in order to guide further evaluation and management. Magnetic resonance imaging is a promising imaging modality but remains costly. Ongoing research is evaluating the role of nonoperative management in children with confirmed appendicitis.
对辐射暴露的担忧导致疑似阑尾炎患者使用计算机断层扫描的情况减少，转而更多地依赖超声检查。对于疑似阑尾炎的儿童，应结合临床体征和症状、白细胞计数以及超声检查进行风险分层，以指导进一步的评估和管理。磁共振成像虽前景可期，但成本依然高昂。正在进行的研究正在评估非手术治疗在确诊阑尾炎儿童中的作用。
