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急性腹痛患者:白细胞及中性粒细胞计数作为外科急腹症的预测指标

Patients with acute abdominal pain: white cell and neutrophil counts as predictors of the surgical acute abdomen.

作者信息

Patrick G L, Stewart R J, Isbister W H

出版信息

N Z Med J. 1985 May 8;98(778):324-6.

PMID:3858715
Abstract

Two hundred and fifty-two patients with acute abdominal pain were admitted to Wellington Hospital during three consecutive months in 1982. The prevalence of the surgical acute abdomen in these patients was 35%. There was no significant difference in performance between the peripheral blood white cell count (WCC) and neutrophil count (NC) when used as diagnostic tests of surgical acute abdomen. Neither test is sufficiently sensitive or specific to be a good predictor of surgical acute abdomen. It is recommended that the WCC be used sparingly and interpreted as a continuously distributed rather than dichotomous diagnostic test. There is no advantage in using the NC.

摘要

1982年,连续三个月有252名急性腹痛患者住进惠灵顿医院。这些患者中外科急腹症的患病率为35%。当用作外科急腹症的诊断测试时,外周血白细胞计数(WCC)和中性粒细胞计数(NC)之间的表现没有显著差异。这两项测试都没有足够的敏感性或特异性来很好地预测外科急腹症。建议谨慎使用WCC,并将其解释为连续分布而非二分法的诊断测试。使用NC没有优势。

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