The value of a comprehensive assessment of the integrated indicator of endogenous intoxication of the organism and ultrasound imaging in the diagnostic process of the acute appendicitis in childhood

Traditionally, in the diagnosis of acute appendicitis and endogenous intoxication that accompanies its course, hemogram indicators a wide range proposed hematological indices are widely used. However, as practice shows, isolated study hemogram, even with involvement integral indices, especially early stages pathology, is not enough for timely diagnosis, more so differential diagnosis. An important additional method diagnosing ultrasound. Purpose – on basis specific clinical observation dynamics abdominal pain syndrome to determine complex diagnostic significance integrated indicator endotoxicosis body Materials methods. As an intoxication, by authors was chosen, which calculated based general analysis peripheral blood: number leukocytes, ESR leukogram according formula. To facilitate calculation value total index calculator program working Excel spreadsheets developed, environment formula integrated. Ultrasound examination performed Doppler scanning ultrasound machines «SAMSUNG H60» (manufactured South Korea) «SAMSUNG» LS22EMU1HS (Seoul. Korea, 2016). Results. Simultaneous comparison local changes picture, magnitude visual findings abdomen allows avoid unwarranted surgery patients pain. Conclusions. Properly collected anamnesis, assessment physical laboratory parameters data methods examination, necessary narrow specialists mistakes children. It expedient justified picture case suspicion compare namely visualization appendix pathological process. The research carried out accordance principles Helsinki declaration. protocol approved Local ethics committee participating institution. informed consent patient obtained conducting studies. No conflict interest declared authors. Key words: index, ultrasound, appendicitis.