临床医生可以正确预测内压力状态,仅仅基于诊断症状在转移患者?
Sogha Khawari1, Anand Pandit2, Laurence Watkins2
1Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK - sogha.khawari@nhs.net.
Journal of neurosurgical sciences
|November 24, 2023
概括
经典症状是不可靠的诊断内压力 (ICP) 在偏移患者. 准确的ICP监测对这一群体至关重要,以避免误诊.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 关键护理医学 关键护理医学
背景情况:
- 脑内压力 (ICP) 的经典症状是众所周知的.
- 然而,ICP状态的症状可预测性在出现慢性症状的分流患者中降低.
- 这项研究调查了在这个特定的患者群体中症状的诊断效用.
研究的目的:
- 评估慢性症状转移患者高与低ICP状态的临床预测的准确性.
- 为了确定临床医生是否可以基于症状,而没有诊断线索,可靠地预测ICP状态.
主要方法:
- 对259名接受ICP监测的患者进行了回顾性分析.
- 确定了17名患有腹腔关节的患者,以及暗示异常ICP的慢性症状.
- 排除了具有可指导ICP状态诊断的成像或眼科发现的患者.
主要成果:
- 在17个病例中的16个 (94%) 中,临床怀疑ICP状态是不正确的.
- 在17名怀疑异常心脏病发作的患者中,有13名 (76%) 患有正常范围内的心脏病发作 (-1.3~5.3mmHg).
- 三名患有低ICP典型症状的患者实际上ICP高于10.0mmHg.
结论:
- 经典的临床症状在诊断慢性症状转移患者的异常ICP状态时具有有限的效用.
- 在这种患者群体中,ICP监测对于准确的诊断和管理至关重要.
- 仅仅依赖症状可能导致错误诊断内压力.
相关概念视频
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