阑尾炎炎症反应评分(AIR)
用途适用: children or adults with suspected appendicitis when labs are available.
分层Strong for advanced appendicitis ruling-in/out at extremes; middle needs imaging.
局限不适用: peritonitis already requiring immediate OR without scoring delay. · 易错点: incomplete labs then forcing a high/low label. · Compare with Alvarado / pediatric pathways locally.
出处Andersson M, Andersson RE. World J Surg 2008 (AIR)
本班次下一步
评完分数后:进场景连算、看相邻评分、打开对应路径。本地参考,不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用: children or adults with suspected appendicitis when labs are available.
需要填写的项目
- Vomiting · 选项
- Pain in right iliac fossa · 选项
- Rebound tenderness / muscular defense · 选项
- Body temperature ≥ 38.5 °C · 选项
- WBC ×10⁹/L · 选项
- Polymorphonuclear leukocytes · 选项
- CRP mg/L · 选项
计算方法与公式
Vomiting (1) + RIF pain (1) + rebound 0–3 + fever≥38.5 (1) + WBC 0–2 + PMN% 0–2 + CRP 0–2. Total 0–12.
Low ≤4, indeterminate 5–8, high ≥9 bands guide observation vs imaging vs surgery.
公式代入演示
下列数值取自本工具各输入项的示例值,用本页公式在服务端实际算出,供快速核对计算过程。仅演示代入方法,不构成临床建议,也不代表任何真实病例。
| Vomiting | 否 (0) |
|---|---|
| Pain in right iliac fossa | 否 (0) |
| Rebound tenderness / muscular defense | Light (1) |
| Body temperature ≥ 38.5 °C | 否 (0) |
| WBC ×10⁹/L | 10.0–14.9 (1) |
| Polymorphonuclear leukocytes | 70–84% (1) |
| CRP mg/L | 10–49 (1) |
→AIR4/12
- Band:Low probability — observation / alternative Dx often appropriate
| Vomiting | 否 (0) |
|---|---|
| Pain in right iliac fossa | 否 (0) |
| Rebound tenderness / muscular defense | 无(0) |
| Body temperature ≥ 38.5 °C | 否 (0) |
| WBC ×10⁹/L | < 10 (0) |
| Polymorphonuclear leukocytes | < 70% (0) |
| CRP mg/L | < 10 (0) |
→AIR0/12
- Band:Low probability — observation / alternative Dx often appropriate
结果判读与分层
Strong for advanced appendicitis ruling-in/out at extremes; middle needs imaging.
指南要点(原创整理)
- 0–12 points.
- Designed vs Alvarado with inflammatory labs.
- 下一步: ultrasound/CT per pathway.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理(非指南原文);完整内容请见下方官方来源。
注意事项与局限
- 不适用: peritonitis already requiring immediate OR without scoring delay.
- 易错点: incomplete labs then forcing a high/low label.
- Compare with Alvarado / pediatric pathways locally.
核对与出处 · 可验证治理
参考指南与出处
- Andersson M, Andersson RE. World J Surg 2008 (AIR) · 来源 ↗
指南全文版权归相应学会/期刊所有;本工具仅实现其决策算法并注明出处,全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- 阑尾炎炎症反应评分(AIR)的计算是否上传患者数据?在哪里计算?
- 计算在浏览器本地完成,输入与结果不上传服务器;结果仅供执业医师参考,须结合病史、检查与本机构方案判断,不构成诊断或处方依据。
- 阑尾炎炎症反应评分(AIR)怎么代入计算?能举个例子吗?
- 代入: Vomiting 否 (0)、Pain in right iliac fossa 否 (0)、Rebound tenderness / muscular defense Light (1)、Body temperature ≥ 38.5 °C 否 (0)、WBC ×10⁹/L 10.0–14.9 (1)、Polymorphonuclear leukocytes 70–84% (1)、CRP mg/L 10–49 (1) → 结果: AIR 4 /12(Band: Low probability — observation / alternative Dx often appropriate) 代入: Vomiting 否 (0)、Pain in right iliac fossa 否 (0)、Rebound tenderness / muscular defense 无(0)、Body temperature ≥ 38.5 °C 否 (0)、WBC ×10⁹/L < 10 (0)、Polymorphonuclear leukocytes < 70% (0)、CRP mg/L < 10 (0) → 结果: AIR 0 /12(Band: Low probability — observation / alternative Dx often appropriate)
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况,见 临床工具核对表与方法学 →