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目的:评价连续白细胞计数在不典型急性阑尾炎诊断中的应用价值。方法:拟诊急性阑尾炎患者57例,根据术后诊断分为急性阑尾炎组(30例)和非阑尾炎组(27例),均于入院时、手术前行连续白细胞计数测定,2次测定时间间隔4～8h,以>测定值2×109/L为标准,比较2组测定结果。结果:急性阑尾炎组手术前连续白细胞计数>入院时测定值2×109/L者25例(83.3%),升高<2×109/L4例(13.3%),未升高1例(3.3%),连续白细胞计数诊断不典型急性阑尾炎的敏感性为83.3%,特异性为92.6%。非阑尾炎组手术前连续白细胞计数>入院时测定值2×109/L者2例(7.4%),升高<2×109/L4例(14.8%),未升高21例(77.8%),2组比较差异有统计学意义(P<0.05)。结论:连续白细胞计数在不典型急性阑尾炎诊断中有一定的应用价值。
Objective: To evaluate the value of continuous white blood cell count in the diagnosis of atypical acute appendicitis. Methods: Fifty-seven patients with acute appendicitis were selected and divided into acute appendicitis group (n = 30) and non-appendicitis group (n = 27) according to postoperative diagnosis. All patients were admitted to hospital at the time of surgery with continuous leukocyte count, 4 ~ 8h, with the measured value of 2 × 109 / L as a standard, comparing the two groups of measurement results. Results: The preoperative number of consecutive leukocytes in patients with acute appendicitis was 25% (83.3%) in 2 × 109 / L, 4 cases (13.3%) were elevated in 2 × 109 / L, and 1 case (3.3% ), The sensitivity of continuous white blood cell count in the diagnosis of atypical acute appendicitis was 83.3% and the specificity was 92.6%. Preoperative non-appendicitis group preoperative white blood cell count> admission 2 × 109 / L in 2 cases (7.4%), elevated 2 109 / L 4 cases (14.8%), did not increase in 21 cases (77.8% The difference between the two groups was statistically significant (P <0.05). Conclusion: The continuous white blood cell count has certain value in the diagnosis of atypical acute appendicitis.