在急性和复发性类风湿性发烧后的结果
Suchaya Silvilairat1, Artit Sornwai1, Saviga Sethasathien1
1Department of Paediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Paediatrics and international child health
|February 16, 2024
概括
复发性类风湿性发烧 (RRF),高三反 (TR) 梯度和扩大的左心室末端透缩维度 (LVEDD) 预测了类风湿性心炎患者需要门手术的情况. 早期识别有助于管理这种残疾状况.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 类风湿性心炎是永久性心脏膜残疾的主要原因,需要了解急性类风湿性发烧 (ARF) 和复发性类风湿性发烧 (RRF) 的结果.
- 确定门手术的预测因素对于管理ARF和RRF患者至关重要.
研究的目的:
- 为了确定诊断为ARF和RRF的患者的门手术的结果.
- 为了确定与此患者队列中需要门手术相关的预测因素.
主要方法:
- 在2006年至2021年期间,对92名被诊断为ARF和RRF的患者进行了回顾性研究.
- 用多变量考克斯比例回归分析来确定门手术的预测因素.
主要成果:
- 临床心炎 (87%) 和心力衰竭 (63%) 是常见的表现. 25%的患者接受了门手术.
- 复发性类风湿性发烧 (HR 7.9),三回梯度≥42 mmHg (HR 6.3) 和LVEDD≥6 cm (HR 8.7) 是门手术的显著预测因素.
结论:
- 在59%的患者中,普雷迪尼索隆治疗减少了膜反的严重程度.
- RRF,升高的TR梯度和增加的LVEDD是ARF/RRF患者门手术的关键预测因素.
相关概念视频
01:30Tonsillitis I: Introduction
251
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
251
01:26Tonsillitis II: Management
111
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
111
01:30Acute Pharyngitis
666
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
666
01:28Pleural Effusion II: Symptoms and Management
173
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
173
01:29Pneumonia II: Pathophysiology
272
The pathophysiology of pneumonia involves the following steps:
272
01:26Patterns of Fever
2.6K
Before understanding the types and patterns of fever, it is essential to know its phases.
2.6K