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为了探讨腹内压监测在急腹症患儿诊疗中的应用价值,本研究对2013年5月至2016年5月收治在承德医学院附属医院小儿外科的150例急腹症患儿的临床资料进行统计分析。结果显示,急腹症组弥漫性腹部疾病患儿的IAP显著高于腹部局部炎症患儿(p<0.05);弥漫性腹部疾病、腹部局部炎症患儿的IAP均显著高于对照组(p<0.05),IAP(>7 cm H_2O,>10 cm H_2O)比例(66.7%;54.7%)均显著高于对照组(20.0%;0%)(p<0.05),不良反应发生率(10.0%)显著高于对照组(0%)(p<0.05),IAP与腹部压痛、反跳痛、肌紧张等腹膜炎刺激症状、WBC均显著相关(p<0.05),WBC、IAP值诊断急腹症的灵敏性、特异性、阳性预测值、阴性预测值、准确率一致。因此,腹内压监测在急腹症患儿诊疗中具有良好的应用价值。
To investigate the clinical value of intra-abdominal pressure monitoring in diagnosis and treatment of children with acute abdomen, the clinical data of 150 cases of acute abdomen children admitted to pediatric surgery department of Affiliated Hospital of Chengde Medical College from May 2013 to May 2016 were retrospectively analyzed. conduct statistical analysis. The results showed that the IAP of children with diffuse abdominal diseases in acute abdomen group was significantly higher than that in children with local abdominal inflammation (p <0.05). The IAP in children with diffuse abdominal diseases and local abdominal inflammation were significantly higher than those in control group (p < 0.05). The proportion of IAP (> 7 cm H 2 O,> 10 cm H 2 O) was significantly higher than that of control group (20.0% vs 0%) (66.7% vs 54.7% (P <0.05). IAP was associated with peritonitis and abdominal pain, rebound tenderness and muscular tension, as well as with WBC (p <0.05). WBC and IAP were also associated with diagnosis of acute abdomen Sensitivity, specificity, positive predictive value, negative predictive value, the same accuracy. Therefore, intra-abdominal pressure monitoring in the diagnosis and treatment of children with acute abdomen has a good value.