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Multimodality Diagnosis of Mesenteric Ischemia

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由于COVID-19感染和急性中肠性缺血症的关联

Ognen Kostovski¹, Irena Lazarova¹, Bojan Popchanovski¹

¹University Clinic for Digestive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia.

Prague medical report

|December 9, 2023

概括

COVID-19并没有独立影响急性中肠缺血 (AMI) 的手术结果. 然而,乳酸脱酶 (LDH) 和血清胰腺胺酶水平的升高与AMI患者中较高的失效率和死亡率相关.

科学领域:

血管外科血管外科
传染性疾病传染性疾病
胃肠病学胃肠病学

背景情况:

COVID-19是一种血栓炎症性疾病.
急性中肠缺血 (AMI) 是一种手术紧急情况.
COVID-19对AMI结果的影响需要调查.

研究的目的:

为了确定AMI患者中COVID-19的流行率.
评估COVID-19感染与AMI手术治疗结果之间的关联.
确定AMI中不可操作性和死亡率的预测因素.

主要方法:

多中心研究对140名AMI患者进行了比较 (65人在COVID-19大流行期间,65之前).
疫情期间的患者被分为COVID阳性或COVID阴性.
分析的结果包括患病率,不可操作性和死亡率.

主要成果:

在COVID-19阳性和阴性AMI患者之间的不操作性或死亡率没有显著差异.
在大流行和大流行前的AMI队列之间,整体死亡率没有显著差异.
血清LDH和胰腺氨酶水平升高与失效率和死亡率的增加显著相关.

结论:

COVID-19感染似乎不会独立影响急性中肠缺血的外科治疗结果.
血清LDH和胰腺粉酶水平是AMI患者不良结果的显著预测指标.
对AMI中血栓炎症标志物的进一步研究是有必要的.

关键词:

急性中肠缺血症急性中肠缺血症在 COVID-19 疫情中,结果结果的结果.流行程度流行程度这就是SARS-nCoV2的原因.

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