临床分析感染性单核病并发症与急性结核胆囊炎
Caijie Gao1, Liming Cao1, Xiaoli Mei1
1Department of Infectious Disease, Children's Hospital of Nanjing Medical University, Nanjing, China.
Frontiers in pediatrics
|March 25, 2024
概括
腹腔超声波是感染性单核病 (IM) 的儿童急性结核胆囊炎 (AAC) 的可靠诊断工具. 在IM患者的常规超声波可以改善早期检测和AAC并发症的治疗.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 传染性单核病 (IM) 可以出现并发症,包括急性结核胆囊炎 (AAC).
- 在儿科IM病例中早期诊断和管理AAC对于患者的治疗结果至关重要.
研究的目的:
- 调查儿童感染性单核病 (IM) 的临床诊断方法,并由急性结核胆囊炎 (AAC) 复杂化.
- 评估腹部超声波在儿童IM患者的AAC诊断中的实用性.
主要方法:
- 从2020年1月至12月,对171例儿科IM病例进行了回顾性分析.
- 在所有IM患者中,对肝脏,胆囊和脏进行腹腔超声检查.
- 对14名患有AAC症状的患者的后续评估.
主要成果:
- 住院IM儿童中AAC的发生率为8.2%.
- 对AAC的特征性超声波发现包括胆囊膨胀和壁壁加厚.
- 在AAC(+) 和AAC(-) 组之间,录取实验室标志物 (白细胞,肝酶) 没有显著差异;这些不是AAC.的风险因素.
结论:
- 腹部超声波是一种可靠的诊断工具,用于识别儿科IM患者的AAC.
- 建议IM患者进行常规腹部超声波查,以促进AAC的早期检测和治疗.
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