系统性免疫炎症和系统性炎症反应指数在怀疑中等风险肺栓塞时的实用性
Muhammed Fuad Uslu1, Mustafa Yilmaz, Metin Ateşçelik
1Muhammed Fuad Uslu, Department of Internal Medicine, Elazig City Hospital, 23100-Elazig, Turkey, dr.fuslu@gmail.com.
Croatian medical journal
|March 4, 2024
概括
系统性免疫炎症指数 (SII) 和系统性炎症反应指数 (SIRI) 可以帮助在紧急情况下诊断肺栓塞 (PE). 这些炎症标志物在与临床评估一起使用时,在支持PE诊断方面显示出潜在的实用性.
科学领域:
- 紧急医疗 紧急医疗
- 血液学 血液学 血液学
- 放射学 放射学是一门学科.
背景情况:
- 肺栓塞 (PE) 在急诊室的诊断依赖于临床评估和成像.
- 需要新的生物标志物来提高诊断准确性和效率.
研究的目的:
- 评估系统性免疫炎症指数 (SII) 和肺栓塞 (PE) 的系统性炎症反应指数 (SIRI) 的诊断实用性.
- 评估这些炎症标志物在紧急医疗环境中的作用.
主要方法:
- 对于168名患者进行了回顾性审查,他们接受了计算机断层扫描肺血管造影,怀疑PE.
- 分析包括接收器运行特征 (ROC) 和二进制物流回归.
主要成果:
- 与没有PE的患者相比,PE患者的白细胞计数,中性粒细胞,单细胞,中性粒细胞/淋巴细胞比率,SII和SIRI都较高.
- SII显示了75.31%的敏感性和71.26%的特异性;SIRI显示了82.72%的敏感性和68.97%的特异性.
- 威尔斯分数,D-二次数和SII是PE诊断的独立预测指标.
结论:
- 该SII和SIRI显示承诺作为支持工具诊断PE在急诊室.
- 这些指数可能会提高肺栓塞的诊断过程.
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