患有SIRS与原发性形尾炎的流行率
Julian Wong1, Kenneth K Lau2,3,4
1Diagnostic Imaging, Monash Health, Melbourne, VIC, Australia. julian.wong@monashhealth.org.
Emergency radiology
|December 4, 2023
概括
在患有原发性尾炎 (PEA) 的患者中,全身炎症反应综合征 (SIRS) 标准表明住院和其他并发性疾病的可能性更高. 早期发现SIRS对于全面的患者评估至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
背景情况:
- 初级发性尾炎 (PEA) 是一种已知的急性腹痛的原因.
- 系统性炎症反应综合征 (SIRS) 标准是炎症和感染的敏感指标.
- 关于SIRS和PEA之间的关联存在有限的数据.
研究的目的:
- 确定被诊断患有PEA的患者中SIRS反应的流行率.
- 评估SIRS在PEA患者中的临床相关性.
- 评估SIRS与PEA入院和并发症的关联.
主要方法:
- 对成年患者进行了追溯研究,CT确认了PEA.
- 对SIRS标准的满足,住院率和治疗方法的分析.
- 在15个月的时间里,从四个主要的急救部门收集的数据.
主要成果:
- 在73名PEA患者中,17名 (23.2%) 符合SIRS标准.
- 有SIRS阳性的患者显示出更高入院率的趋势 (OR 2.51).
- 有SIRS阳性的PEA患者的无关放射性并发症的几率显著更高 (18.7倍).
结论:
- 在PEA患者中,SIRS反应与增加的住院率相关.
- 患有SIRS的PEA患者更有可能同时存在放射性并发症.
- 在SIRS阳性PEA患者中,考虑替代病理是必不可少的.
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