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在计算机断层扫描之前,胃肠道出血源的临床预测因素是血管扫描
Wisam Sbeit1,2, Maamoun Basheer1,2, Amir Shahin1,2
1Department of Gastroenterology, Galilee Medical Center, Nahariya 221001, Israel.
Journal of clinical medicine
|December 23, 2023
概括
高的INR和低的白蛋白水平强烈预测了通过计算机断层扫描血管学 (CTA) 检测到的活跃胃肠道出血 (GIB). 具有高ASA分数的患者与活跃GIB的增加率无关.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
背景情况:
- 急性胃肠道出血 (GIB) 是一个频繁的医疗紧急情况.
- 计算机断层扫描血管造影 (CTA) 是GIB的关键诊断工具,当内镜检查结果为阴性时.
- 关于GIB病例中积极CTA发现的预测因素的数据有限.
研究的目的:
- 确定临床和实验室参数,预测CTA上的活性GIB.
- 评估对比物质向肠道光膜扩散的预测因素.
主要方法:
- 在GIB患者接受CTA的单中心回顾性研究.
- 阳性和阴性CTA发现之间的患者特征的比较.
- 后勤回归分析以确定活跃GIB的预测参数.
主要成果:
- 包括154名患者;16.2%的人在CTA上有活跃的GIB.
- 单变量分析:CHF,华法林使用,高INR和低白蛋白与活性GIB相关.
- 多变量分析:高INR (OR 1.34) 和低白蛋白 (OR 0.3) 仍然是显著预测因素;高ASA得分与负相关.
结论:
- 高的INR和低的白蛋白水平是CTA上活跃GIB的强有力的预测因素.
- 高ASA得分与活跃GIB的更高发病率没有相关性.
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