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住院患者隐匿性胃肠道出血的筛查

Screening for occult gastrointestinal bleeding in hospital patients.

作者信息

Barrison I G, Littlewood E R, Primavesi J, Sharples A, Gilmore I T, Parkins R A

出版信息

J R Soc Med. 1981 Jan;74(1):41-3.

PMID:6970265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1438337/
Abstract

Stools have been tested for occult gastrointestinal bleeding in 278 outpatients and 170 hospital inpatients using the Haemoccult and Haemastix methods. Seventeen outpatients (6.1%) and 42 inpatients (24%) were positive with the Haemoccult technique. Thirty-three outpatients (11.9%) and 93 inpatients (54.7%) were positive with the Haemastix test. Following investigation of the Haemoccult-positive patients, only 2 cases (3.4%) were considered false positive. However, the false positive rate with Haemastix was 22.9% which is unacceptable in a screening test. Haemoccult may be useful as a screening test for asymptomatic general practice patients, but a test of greater sensitivity is needed for hospital patients.

摘要

采用隐血试验(Haemoccult)和尿潜血试纸法(Haemastix)对278名门诊患者和170名住院患者的粪便进行了潜血检测。采用隐血试验技术,17名门诊患者(6.1%)和42名住院患者(24%)呈阳性。采用尿潜血试纸检测,33名门诊患者(11.9%)和93名住院患者(54.7%)呈阳性。在对隐血试验阳性患者进行检查后,仅2例(3.4%)被认为是假阳性。然而,尿潜血试纸的假阳性率为22.9%,这在筛查试验中是不可接受的。隐血试验可作为无症状全科患者的筛查试验,但对于住院患者需要更高灵敏度的检测。

相似文献

1
Screening for occult gastrointestinal bleeding in hospital patients.住院患者隐匿性胃肠道出血的筛查
J R Soc Med. 1981 Jan;74(1):41-3.
2
Self-reported dark red bleeding as a marker comparable with occult blood testing in screening for large bowel neoplasms.
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3
Five guaiac-based tests for occult blood in faeces compared in vitro and in vivo.对五种基于愈创木脂的粪便潜血检测方法进行体外和体内比较。
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[Haemoccult and Colorectal: a comparative prospective study on the detection of occult blood in the feces].[潜血试验与结直肠癌:粪便潜血检测的比较性前瞻性研究]
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[Screening tests for colon cancer - a new comparison Haemoccult - hemoFEC and review of 9 years clinical experience with Haemoccult (author's transl)].结肠癌筛查试验——新的比较:潜血试验 - 血红蛋白粪便免疫化学试验以及潜血试验9年临床经验回顾(作者译)
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Dtsch Med Wochenschr. 1980 Nov 21;105(47):1643-6. doi: 10.1055/s-2008-1070929.

引用本文的文献

1
The clinical value of Haemoccult and Fecatwin in the detection of colorectal neoplasia in hospital and general practice patients.粪隐血试验和粪便双联免疫法检测在医院及普通门诊患者结直肠肿瘤筛查中的临床价值
Postgrad Med J. 1985 Aug;61(718):701-4. doi: 10.1136/pgmj.61.718.701.
2
Investigation of chronic upper gastrointestinal haemorrhage.慢性上消化道出血的调查
Postgrad Med J. 1985 Jun;61(716):481-4. doi: 10.1136/pgmj.61.716.481.

本文引用的文献

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ASSESSMENT OF ROUTINE TESTS FOR OCCULT BLOOD IN FAECES.粪便潜血常规检测评估
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