通过快速序列的静脉注射泌尿图对被选中的高血压患者进行调查
H A Cameron1, C F Close, W W Yeo
1University Department of Medicine and Pharmacology, Royal Hallamshire Hospital, Sheffield, UK.
Lancet (London, England)
|March 14, 1992
概括
快速序列静脉注射泌尿图 (IVU) 是高血压的宝贵查工具,在27%的患者中检测出异常. 尽管有局限性,但它可以有效地识别诸如血管疾病等疾病,指导必要的干预措施.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
- 高血压研究 高血压研究
背景情况:
- 快速序列静脉注射泌尿图 (IVU) 的使用在高血压下降,因为在检测血管疾病的感知不准确.
- 关于IVU作为精心挑选的高血压患者的查测试的有效性,目前的研究有限.
研究的目的:
- 评估快速序列IVU在高血压患者中具有临床脏或血管疾病指标的诊断产量.
- 评估IVU作为高血压中各种脏异常的通用查测试的实用性.
主要方法:
- 追溯审查高血压诊所病例记录.
- 对241名连续高血压患者的诊断产量和干预率的分析,这些患者接受了快速序列的IVU.
主要成果:
- 静脉注射器在27%的患者中发现了异常,包括慢性炎症 (6%),已证明的血管疾病 (5%) 和结石 (4%).
- 治疗高血压的干预措施在5%的患者中得到了启动;4%的患者有异常需要单独的干预.
- 不必要的侵入性检查发生在3%的病例中;临床特征无法可靠地预测特定异常.
结论:
- 快速序列IVU是唯一能够检测高血压患者怀疑患有脏或血管疾病的脏异常的单一测试.
- 一个正常的IVU排除血管疾病的概率为93%,但是一个不完美的查测试,缺少大约20%的病例.
- 腎動脈造影仍然是決定性排除腎血管疾病的必要,即使在正常的IVU,當關鍵.
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