The Australian and New Zealand journal of surgery · 1996
White blood cell counts in patients undergoing abdominal surgery.
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Blennerhassett L, Hall J L, Hall J C
Аннотация
BACKGROUND: The role of pre-operative white blood cell counts (WBCC) in patients with an acute abdomen is contentious.
METHODS: This study documents the association between pre-operative WBCC and the extent of intraperitoneal inflammation at the time of surgery in a heterogeneous group of 1166 patients undergoing abdominal surgery.
RESULTS: WBCC failed to adequately discriminate between groups of patients with varying degrees of intraperitoneal inflammation. For example, only 31% (37/118) of the patients with either free pus or an abscess within the peritoneal cavity had a WBCC > 15.0 x 10(9)/L.
CONCLUSIONS: There is a need to replace the WBCC with more powerful predictors of inflammation within the peritoneal cavity.
METHODS: This study documents the association between pre-operative WBCC and the extent of intraperitoneal inflammation at the time of surgery in a heterogeneous group of 1166 patients undergoing abdominal surgery.
RESULTS: WBCC failed to adequately discriminate between groups of patients with varying degrees of intraperitoneal inflammation. For example, only 31% (37/118) of the patients with either free pus or an abscess within the peritoneal cavity had a WBCC > 15.0 x 10(9)/L.
CONCLUSIONS: There is a need to replace the WBCC with more powerful predictors of inflammation within the peritoneal cavity.