我们应该在右锁骨中线还是中线处测量肝上下径？
Should we estimate liver span in the right mid-clavicular line or the midline?
作者信息
Michie C, Alu S, Wild K, Hampsheir R, Chabonnaud P, Harvey D
机构信息
Department of Paediatrics and Neonatal Medicine, Royal Postgraduate Medical School, London, United Kingdom.
出版信息
J Paediatr Child Health. 1995 Jun;31(3):241-4. doi: 10.1111/j.1440-1754.1995.tb00794.x.
OBJECTIVE
Comparison was made between the accuracy of repeated measurements of liver projection below the costal margin in the right mid-clavicular line (RMCL) and in the midline (ML).
METHODOLOGY
Clinical measurement of liver span was studied in 34 children under 5 years of age by five members of junior ward staff. Three patients were followed longitudinally by the same observers.
RESULTS
The coefficient of reliability between different observers for measurement in the RMCL was 13 mm but for that in the ML was 7 mm. Estimates of liver size in the RMCL were particularly inaccurate when examining larger livers.
CONCLUSION
More reliable sequential estimates of liver size are likely to be obtained using measurements both in the midline and in a well-defined and agreed point below the right costal margin.
目的
比较右锁骨中线（RMCL）和中线（ML）肋缘下肝脏投影重复测量的准确性。
方法
由五名初级病房工作人员对34名5岁以下儿童的肝脏跨度进行临床测量。三名患者由相同的观察者进行纵向随访。
结果
不同观察者在RMCL测量的可靠性系数为13mm，而在ML测量的可靠性系数为7mm。在检查较大肝脏时，RMCL中肝脏大小的估计尤其不准确。
结论
通过在中线和右肋缘下一个明确且一致的点进行测量，可能会获得更可靠的肝脏大小连续估计值。
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