中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/29399
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    题名: The epidemiology of hyperuricemia in children of Taiwan aborigines
    作者: Liu, CS;Li, TC;Lin, CC
    贡献者: 附設醫院家醫科;China Med Coll Hosp, Ctr Community Hlth, Dept Family Med, Taichung, Taiwan
    日期: 2003
    上传时间: 2010-09-24 14:33:50 (UTC+8)
    出版者: J RHEUMATOL PUBL CO
    摘要: Background/Aims: Early detection of post-surgical infection is important to decrease mortality in patients after operation. Both C-reactive protein test and gallium-67 scan (gallium scan) are sensitive examinations in the detection of infection. In this study, we compared the diagnostic accuracy of the two modalities in the detection of infection after abdominal surgery. Methodology: Forty-six patients undergoing abdominal surgery were enrolled in this study. All patients received blood examination for C-reactive protein test and were referred to our department for gallium scan because of unknown fever after surgery. Results: Of the 46 patients with abdominal surgery, 22 (47.8%) were diagnosed to have infection including 6 intra-abdominal abscesses, 8 wound infection and 8 with both intra-abdominal abscesses and wound infection. To achieve better diagnostic results, C-reactive protein value of 2.8mg/dL was chosen as cut-off value. The diagnostic sensitivities for both gallium scan and C-reactive protein test were 100%. The diagnostic specificity of gallium scan was superior to C-reactive protein test (83.3% vs. 54.2%). The overall diagnostic accuracy of gallium scan and C-reactive protein test were 92.6% and 76%, respectively. Conclusions: Both C-reactive protein test and gallium scan have good sensitivity in the detection of infection after abdominal surgery. Gallium scan has better diagnostic specificity than the C-reactive protein test.
    關聯: JOURNAL OF RHEUMATOLOGY 30(4):841-845
    显示于类别:[台中附設醫院] 期刊論文

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