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诺莫图谱用于预测患有隔离远距离深静脉血栓症的妇科住院患者的肺栓塞
Zhen-Yi Jin1, Chun-Min Li1, Kai Zheng1
1Department of Vascular Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
概括
肺栓塞 (PE) 在患有隔离远部深静脉血栓症 (IDDVT) 的妇科患者中很常见. 关键的危险因素包括高血压,糖尿病,BMI和葡萄糖皮质类药物治疗,有助于早期发现PE.
科学领域:
- 妇科瘤学 妇科瘤学
- 血管医学 血管医学
- 放射学 放射学是指放射学
背景情况:
- 深静脉血栓 (DVT) 是住院患者的一个重大问题.
- 肺栓塞 (PE) 是 DVT 的危及生命的并发症.
- 隔离远部深静脉血栓塞 (IDDVT) 需要对并发性PE进行仔细评估.
研究的目的:
- 确定IDDVT的妇科住院患者中PE的发生率.
- 为了确定与IDDVT与PE并发相关的风险因素.
- 在IDDVT患者中开发PE的预测性诺莫格拉姆模型.
主要方法:
- 对260名诊断为IDDVT的妇科住院患者的回顾性分析.
- 计算机断层扫描肺血管造影 (CTPA) 用于检测PE.
- 后勤回归分析用于风险因素识别和名录构造.
主要成果:
- 在IDDVT患者中观察到高频率的并发性PE (40.8%),其中28.5%是静音PE.
- 勃起前列腺的独立风险因素包括高血压,糖尿病,体重指数 (BMI) 和葡萄糖皮质激素治疗.
- 开发的名图显示曲线下的预测面积 (AUC) 为0.710.
结论:
- 患有IDDVT的妇科住院患者有相当大的同时发生PE的风险.
- 高血压,糖尿病,BMI和葡萄糖皮质激素治疗是该人口中PE的显著预测因素.
- 诺莫格拉姆模型可以帮助在IDDVT患者中早期识别PE,从而促进及时干预.
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