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急性肺栓塞的临床表现:一个回顾性队列研究
Moshe Khasin1,2, Ivan Gur1, Elite Vainer Evgrafov1,2
1Rambam Medical Center, Haifa, Israel.
Medicine
|July 14, 2023
概括
肺栓塞 (PE) 的呈现因引起而有所不同. 没有被挑起的PE显示出更少的呼吸障碍,但更多的胸痛和血. 与恶性病相关的PE往往没有症状.
科学领域:
- 肺部医学 肺部医学
- 临床研究 临床研究
- 流行病学 流行病学
背景情况:
- 肺栓塞 (PE) 是致病率和死亡率的重要原因.
- PE的临床表现可能是可变的,有时是不典型的.
- 了解诱发因素如何影响PE呈现对于诊断至关重要.
研究的目的:
- 为了调查肺栓塞 (PE) 的临床表现是否根据挑的类型而有所不同.
- 为了比较在未引起的,非恶性和恶性相关的PE中呈现的症状.
- 确定与非典型或无症状PE呈现相关的因素.
主要方法:
- 追溯队列研究分析了2014-2019年PE患者的电子健康记录 (EHR).
- 纳入标准:急性PE诊断,年龄大于18岁,完整的EHR.
- 主要结局:根据专家的共识,呈现典型或非典型的症状.
主要成果:
- 与非恶性和恶性相关的PE相比,不引起的PE中呼吸障碍的发病率较低.
- 血和胸痛在未引起的PE中更常见.
- 无症状呈现在恶性瘤相关的PE中最常见 (19%),而非典型呈现在非恶性诱发中频繁 (19.7%).
结论:
- 皮质前列腺的临床表现受到诱导因素的影响.
- 非典型的表现更常见于非恶性挑.
- 无症状PE在患有潜在恶性瘤的患者中很普遍,需要在诊断时考虑这些关联.
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