まとめ
腹腔聴診では,患者の21%でブリーツが検出されました. エピガストリックブライトはしばしばセリアック動脈狭窄症と関連しており,腎動脈狭窄症はブライトの相関が低い.
科学分野:
- 血管外科 血管外科
- 診断用イメージング
- 内科内科は,内科の内科である.
背景:
- オスカルテーション中に検出された腹部ブリーツは,潜在的血管病理を暗示する可能性があります.
- セリアック動脈狭窄症と腎動脈狭窄症は,血流に影響する重要な疾患です.
研究 の 目的:
- 腹部アングリオグラムと腹部アングリオグラフによる腹部アスクルテーションの発見を相関させる.
- 腹部ブライトの発生率と原因を調査し,特にセリアック動脈と腎動脈狭窄に関連して調査する.
主な方法:
- 503人の患者に腹腔聴診を行いました.
- 結果は,血管の発見を確認するために,腹腔血管図と相関させられました.
- ブライトの発生率は,特定の動脈狭窄症に関連して分析されました.
主要な成果:
- 患者106人 (21%) の中で,ブルーツの音が聞こえた.
- 大多数のブライトは,主に大腸動脈狭窄 (しばしば外部圧縮) に起因するエピガストリックであった.
- 腎動脈狭窄 / 閉塞の患者の27%がブライトを持っていたが,しばしばセリアック圧縮のような混同要因があった.
結論:
- 腹腔聴診は,血管異常のスクリーニングツールとして有用です.
- セリアック動脈の狭窄症は,上腹筋ブライトの一般的な原因です.
- 腎動脈狭窄のブルーツはあまり一般的ではなく,多因性である可能性があります.
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