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儿童阑尾炎评分标准
原作者: Rose Chasm, 肖锋译 发布日期:2013-08-27

Title: Pediatric Appendicitis Score
题目:儿童阑尾炎评分标准
Author 作者: Rose Chasm

Risk stratisfication score introducted by Maden Samuel in 2002.
在2002年Maden Samuel医生提出了阑尾炎危险因素评估标准。
The Pediatric Appendicitis Score had a sensitivity of 1, specificity of 0.92, positive predictive value of 0.96, and negative predictive value of 0.99.
这个小儿阑尾炎评分标准的灵敏度为1,特异性为0.92,阳性预测值为0.96,阴性预测值为0.99。
Signs 体征:
Right lower quadrant tenderness = 2 points
右下腹压痛= 2分
Cough/Percussion/Hop RLQ tenderness = 1 point
咳嗽/敲击/跳蹦加重右下腹疼痛= 1分
Pyrexia = 1 point
发热=1分

Symptoms 症状:
RLQ migration of pain = 1 point
迁移性右下腹疼痛 =1分
Anorexia = 1 point
厌食=1分
Nausea/Vomiting = 1 point
恶心/呕吐= 1分

Laboratory Values 实验室检查:
Leukocytosis = 2 points
白细胞增多= 2分
Polymorphonuclear neutrophilia = 1 point
多形粒细胞=1分

Scores of 4 or less are least likely to have acute appendicitis, while scores of 8 or more are most likely.

少于4分的病人患有急性阑尾炎的可能性几乎是没有的,而8分以上的可能性是最高的 。

References 参考文献:
Samuel M. Pediatric Appendicits Score[J]. J Pedia Surg,2002,37:877-881.