改良阿瓦拉多评分在急性阑尾炎诊断中的评估：一项前瞻性研究。
Evaluation of the modified Alvarado score in the diagnosis of acute appendicitis: a prospective study.
作者信息
Kalan M, Talbot D, Cunliffe W J, Rich A J
机构信息
Sunderland District General Hospital.
出版信息
Ann R Coll Surg Engl. 1994 Nov;76(6):418-9.
Abstract
The Alvarado score was assessed as to its accuracy in the preoperative diagnosis of acute appendicitis. A series of 49 consecutive patients was studied prospectively over a period of 9 months in two hospitals (Gateshead and Sunderland). The presence of a high score was found to be an easy and satisfactory aid to early diagnosis of appendicitis in children and men. However, the false-positive rate for appendicitis in women was unacceptably high.
摘要
对阿尔瓦拉多评分在急性阑尾炎术前诊断中的准确性进行了评估。在两家医院（盖茨黑德和桑德兰）对连续49例患者进行了为期9个月的前瞻性研究。结果发现，高分有助于儿童和男性阑尾炎的早期诊断，既简便又令人满意。然而，女性阑尾炎的假阳性率高得令人难以接受。
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本文引用的文献
1
A practical score for the early diagnosis of acute appendicitis.一种用于急性阑尾炎早期诊断的实用评分系统。
Ann Emerg Med. 1986 May;15(5):557-64. doi: 10.1016/s0196-0644(86)80993-3.
2
Aids in the diagnosis of acute appendicitis.有助于急性阑尾炎的诊断。
Br J Surg. 1989 Aug;76(8):774-9. doi: 10.1002/bjs.1800760803.
3
Evaluation of the Alvarado score in acute appendicitis.急性阑尾炎中阿尔瓦拉多评分的评估
J R Soc Med. 1992 Feb;85(2):87-8. doi: 10.1177/014107689208500211.
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