中毒的胃肠道表现:简要报告
Masumeh Safaee1, Mahdi Malekzadeh2, Narges Motamedi3
1Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Iranian journal of medical sciences
|December 14, 2023
概括
血中含量升高与多种胃肠道 (GI) 症状相关,特别是腹痛. 对于患有这些胃肠道问题的患者,在差异诊断中考虑毒性.
科学领域:
- 毒理学 毒理学 毒理学
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 中毒经常出现胃肠道 (GI) 症状.
- 胃肠道症状的严重程度与血液中含量之间的关系需要进一步研究.
研究的目的:
- 根据胃肠道症状,对因毒性住院的患者血中平均水平进行比较.
- 在患有胃肠道症状的患者中确定血中含量升高的预测因素.
主要方法:
- 2020年在伊朗霍尔希德医院进行的回顾性横截面研究.伊朗.
- 包括在2017-2018年期间因中毒住院的82名成年患者.
- 从医疗记录中分析了人口统计数据,临床表现,血液含量和治疗结果.
主要成果:
- 与单个症状患者相比,患有多个GI症状的患者的平均血水平显著更高 (P=0.01).
- 腹部疼痛是最常见的GI症状 (31.7%).
- 多重胃肠道症状是超过70 mg/dL (OR=3.06,P=0.03) 的血水平的重要预测因素.
结论:
- 多重胃肠道症状,特别是腹痛,在中毒病例中与较高的血水平有关.
- 毒性应在患者的差异诊断中考虑,这些患者呈现出无法解释的腹痛.
- 14.6%的患者需要进行手术咨询,这突显了胃肠道干扰的潜在严重性.
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