严重临床过程的危险因素在表皮术患者
Ayalon Hadar1, Chanan Shaul1, Jameel Ghantous1
1Department of Otolaryngology, Head and Neck Surgery, Shaare-Zedek Medical Center, The Hebrew University, Jerusalem, Israel.
Ear, nose, & throat journal
|July 27, 2023
概括
在患有高血压或服用血液稀释剂的老年男性中,鼻血更为严重. 这些因素,以及年龄和性别,应指导严重鼻血的住院决定.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 紧急医疗 紧急医疗
- 内部医学 内部医学
背景情况:
- 皮是常见的紧急情况,通常需要急诊室 (ED) 参观.
- 目前用于表术的住院标准没有标准化,并且依赖于个体医生的经验.
研究的目的:
- 为了确定与严重的临床过程相关的因素.
- 为了建立基于证据的医院住院的迹象,在表患者.
主要方法:
- 对来自第三级医疗中心ED (2013-2018) 的1171个患者记录的回顾性分析.
- 确定的严重的临床过程是复发性表,后部出血,住院治疗,输血或手术.
- 分析了患者人口统计,并发症,药物和严重结果之间的相关性.
主要成果:
- 高龄,男性性别,高血压和抗血小板/抗凝治疗与严重的临床过程有显著的相关性.
- 只有11%的患者需要住院治疗,1.8%需要手术.
- 冬季是一个显著的风险因素,表入院.
结论:
- 视的严重程度与年龄较大,男性性别,高血压和血液稀释药物有关.
- 这些因素应考虑在边界病例的住院决定.
- 建议对接受华法林或联合抗血小板/抗凝治疗的患者进行常规的凝血测试.
相关概念视频
Epistaxis
192
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
192
Tonsillitis II: Management
138
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
138
Factors Affecting the Risk of Infection
12.0K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.0K
Esophageal Varices-I: Introduction
183
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
183
Endocarditis II: Clinical Features of Infective Endocarditis
14
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
14
Esophageal Perforation-II: Clinical Manifestations and Management
89
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
89


