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首頁> 美國衛(wèi)生研究院文獻(xiàn)>ISRN Toxicology >A Review of the Predictive Role of Plasma D-Lactate Level in Acute Appendicitis: A Myth or Truth?
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A Review of the Predictive Role of Plasma D-Lactate Level in Acute Appendicitis: A Myth or Truth?

機(jī)譯：血漿D-乳酸水平在急性闌尾炎中的預(yù)測作用綜述：神話還是真理？

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摘要

Acute appendicitis (AA) is a common condition which warrants emergency surgery. Detailed history, physical exam, and laboratory findings are often nonspecific in suspected patients. There is substantial evidence to indicate that plasma levels of D-lactate were useful to establish a diagnosis of AA in the medical literature. It has been suggested that it is useful for patients with abdominal pain, especially patients with perforated AA. This paper is designed to highlight the value of D-lactate biomarker in establishing a diagnosis of AA. Based on the literature, it is not helpful for a decision of operation in patients with AA. According to the results of the studies, laboratory involvement was observed between plasma D-lactate level and the final diagnosis of AA, particularly in perforated appendices. It can be considered for routine use in patients with undifferentiated abdominal pain in the emergency department setting.
機(jī)譯：急性闌尾炎（AA）是需要緊急手術(shù)的常見病。詳細(xì)的病史，體格檢查和實(shí)驗(yàn)室檢查結(jié)果通常對可疑患者沒有特異性。有大量證據(jù)表明，血漿D-乳酸水平可用于建立醫(yī)學(xué)文獻(xiàn)中的AA診斷。已經(jīng)提出，它對于腹部疼痛的患者特別是患有AA穿孔的患者是有用的。本文旨在強(qiáng)調(diào)D-乳酸生物標(biāo)志物在建立AA診斷中的價值。根據(jù)文獻(xiàn)，這對于AA患者的手術(shù)決策沒有幫助。根據(jù)研究結(jié)果，觀察到血漿D-乳酸水平與AA的最終診斷之間存在實(shí)驗(yàn)室關(guān)系，尤其是在穿孔的闌尾中。在急診室中，可以考慮將其常規(guī)用于腹痛未分化的患者。

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