兒童克隆氏症疾病嚴重程度評估表 PCDAI
History (Recall, 1 week) 病史(過去一周)
腹痛
(Abdominal Pain)
(Abdominal Pain)
無
(None)
+0
輕微: 短暫，不影響活動
(Mild: Brief, does not interfere with activities)
+5
中度/嚴重：每天，持續較長時間，影響活動，夜間痛
(Moderate/ Severe: Daily, longer lasting,
affects activities, nocturnal)
affects activities, nocturnal)
+10
History (Recall, 1 week) 病史(過去一周)
病人的功能、一般健康狀況
(Patient Functioning, General Well-Being)
(Patient Functioning, General Well-Being)
活動自主，狀況良好
(No limitation of activities, well)
+0
維持該年齡應有的活動偶爾會有困難，低於平均值
(Occasional difficulty in maintaining age-appropriate activities, below par)
+5
活動經常受限，非常虛弱
(Frequent limitation of activity, very poor)
+10
History (Recall, 1 week) 病史(過去一周)
糞便(每天)
(Stools [per day] )
(Stools [per day] )
0-1次流質糞便，沒有血絲
(0-1 liquid stools, no blood)
+0
最多2次的半成形及輕微血絲糞便，或是2-5次流質糞便
(Up to 2 semiformed with small blood, or 2-5 liquid)
+5
血便，或多於6次流質糞便，或夜間腹瀉
(Gross bleeding, or ≥ 6 liquid, or nocturnal diarrhea)
+10
Laboratory 檢驗值
HCT血比容
< 10 歲 (男/女)
(< 10 years [Male and Female] )
11-14歲 (男)
(11-14 years [Male] )
11-19歲 (女)
(11-19 years [Female] )
15-19 歲 (男)
(15-19 years [Male] )
≥ 33%
+0
28%-32%
+2.5
< 28%
+5
≥ 35%
+0
30%-34%
+2.5
< 30%
+5
≥ 34%
+0
29%-33%
+2.5
< 29%
+5
≥ 37%
+0
32%-36%
+2.5
< 32%
+5
Laboratory 檢驗值
ESR紅血球沈降速率
< 20 mm/hr
+0
20-50 mm/hr
+2.5
> 50 mm/hr
+5
Laboratory 檢驗值
白蛋白
(Albumin)
(Albumin)
≥ 3.5 g/dL
+0
3.1-3.4 g/dL
+5
≤ 3.0 g/dL
+10
Examination檢查
體重
(Weight)
(Weight)
體重增加，或刻意維持的體重/刻意減重
(Weight gain or voluntary weight stable/loss)
+0
非刻意維持的體重，體重降低1%-9%
(Involuntary weight stable, weight loss 1%-9%)
+5
體重降低 ≥ 10%
(Weight loss ≥ 10%)
+10
Examination檢查
診斷時身高
(Height at Diagnosis)
(Height at Diagnosis)
< 1 間距( channel)減少
(< 1 channel decrease)
+0
≥ 1, < 2間距( channel)減少
(≥ 1, < 2 channel decrease)
+5
> 2間距( channel)減少
(> 2 channel decrease)
+10
Examination檢查
追蹤時身高
(Height at Follow-Up)
(Height at Follow-Up)
身高生長速度 ≥ -1 個標準差
(Height velocity ≥ -1 SD)
+0
身高生長速度介於-1~ -2 個標準差
(Height velocity < -1 SD, > -2 SD)
+5
身高生長速度≤ -2個標準差
(Height velocity ≤ -2 SD)
+10
Examination檢查
腹部
(Abdomen)
(Abdomen)
沒有壓痛、沒有腫塊
(No tenderness, no mass)
+0
有壓痛，或有不痛的腫塊
(Tenderness or mass without tenderness)
+5
有壓痛，觸診時不自主的防衛，有明顯的腫塊
(Tenderness, involuntary guarding, definite mass)
+10
Examination檢查
直腸周邊的疾病
(Perirectal Disease)
(Perirectal Disease)
沒有，無症狀的贅瘤(表皮小肉球)
(None, asymptomatic tags)
+0
1-2 個不痛的廔管，少量流出分泌物， 沒有壓痛
(1-2 indolent fistula, scant drainage, no tenderness)
+5
活動性廔管，有流出分泌物，有壓痛或是膿瘍
(Active fistula, drainage, tenderness, or abscess)
+10
Examination檢查
腸道外症狀
(Extraintestinal Manifestations)
[在過去一周發燒≥ 38.5°C至少3天， 關節炎, 虹彩炎，結節性紅斑(erythema nodosum)，壞疽性膿皮症(pyoderma gangrenosum)]
(Extraintestinal Manifestations)
[在過去一周發燒≥ 38.5°C至少3天， 關節炎, 虹彩炎，結節性紅斑(erythema nodosum)，壞疽性膿皮症(pyoderma gangrenosum)]
None
+0
1
+5
≥ 2
+10
PCDAI 總分：0
(總分: < 10分: 病情緩解;10- 27.5分: 輕微發炎; >27.5分: 中度發炎; > 37.5分: 嚴重發炎)
列印
清空
PCDAI 總分：0
(總分: < 10分: 病情緩解;10- 27.5分: 輕微發炎; >27.5分: 中度發炎; > 37.5分: 嚴重發炎)