隐性肺炎的问题:在只有下尿路症状的患者中,急性肺炎
Fazal Ur Rehman1, Furrukh Omair Syed2, Noureen Akber Ali3
1Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan.
肌炎往往缺乏典型的侧侧疼痛,许多患者只表现出下尿路症状 (LUTS). 图像检查对于诊断高风险LUTS患者的炎症至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 紧急医疗 紧急医疗
背景情况:
- 骨髓炎炎是一种常见的急诊诊断.
- 典型的症状包括侧翼疼痛和腰椎疼痛与尿道问题.
- 在没有经典症状的情况下出现非典型的表现.
研究的目的:
- 调查仅表现出下游尿路症状 (LUTS) 的炎炎病例.
- 为了确定非典型发炎的发病频率.
- 在这些情况下评估成像的诊断实用性.
主要方法:
- 对被诊断患有急性肌炎的患者的回顾性图表审查.
- 从2018年1月到2019年2月在第三级护理医院收集的数据.
- 包括521名患者,其中492人被诊断患有炎炎.
主要成果:
- 94%的参与者被诊断出患有炎炎.
- 22.8%的患者缺乏侧翼疼痛和腰椎疼痛,但通过CT/MRI进行诊断.
- 27%的人只报告了上泌尿道症状,并通过成像检查得到证实.
结论:
- 有相当数量的炎症无炎病例缺乏典型的上泌尿道症状.
- 患有LUTS的患者可能患有骨髓炎,需要对高风险个体进行成像.
- 计算机断层扫描 (CT) 和磁共振成像 (MRI) 对于诊断非典型炎症至关重要.
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