在急性呼吸窘迫综合征中脑部微型出血
Aron Gedansky1, Merry Huang1, Catherine E Hassett2
1Department of Neurology, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States.
概括
在20%的急性呼吸困扰综合征 (ARDS) 患者中,通过MRI扫描发现了脑微出血 (CMB). 这些患者经历了更多的神经问题,如缺血和发作,需要ARDS救援疗法.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 放射学 放射学是一门学科.
背景情况:
- 在重症患者中观察到脑微出血 (CMB).
- 在急性呼吸窘迫综合征 (ARDS) 中,CMB的频率和影响尚不清楚.
研究的目的:
- 为了确定ARDS患者中CMB的频率.
- 在ARDS中调查CMB和神经复杂症 (急性脑缺血,) 之间的关联.
主要方法:
- 对ARDS患者 (2010年1月 - 2018年10月) 进行脑磁共振成像的回顾性审查.
- 纳入标准:ARDS诊断和用SWI或GRE序列进行MRI.
- 在CMB和没有CMB的患者之间比较神经复发症和ICU结局.
主要成果:
- 在61名符合条件的ARDS患者中,12名 (20%) 患有CMB.
- 慢性脑血管疾病患者的急性脑缺血 (41.7%与10.2%) 和发作 (33.3%与8.2%) 发生率较高.
- 在CMB患者中,ARDS救援疗法更常见 (p=0.005);医院死亡率没有差异.
结论:
- 在接受MRI的ARDS患者中,20%的CMB存在.
- 脑血管疾病与神经系统并发症的风险增加有关,需要ARDS救援疗法.
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