冠状动脉空气栓塞是皮肤肺部活检的次要原因:系统性审查
Shai Ring1,2, Tusharkumar Pansuriya1,2, Hytham Rashid1,2
1Department of Internal Medicine, HCA Houston Healthcare Kingwood, Houston, USA.
Cureus
|April 1, 2024
概括
在左下叶 (LLL) 的皮革肺活检 (PLB) 与心脏骤停和由于冠状动脉气栓塞 (CAE) 的患者死亡有关. 需要进一步研究CAE的位置和患者的结果.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 干预性放射学 干预性放射学
背景情况:
- 冠状动脉气栓塞 (CAE) 是一种罕见但严重的并发症.
- 穿皮肺活检 (PLB) 是一种必不可少的诊断工具.
- 了解与PLB相关的风险对于患者安全至关重要.
研究的目的:
- 为了确定与PLB后的CAE相关的死亡率和发病率.
- 为了确定CAE和PLB后的整体死亡率的风险因素.
- 分析活检位置对CAE并发症的影响.
主要方法:
- 在PubMed的系统性文献搜索中,查找PLB继发的CAE报告的病例.
- 包括来自26个出版物的31个案例.
- 使用费舍尔精确测试进行统计分析.
主要成果:
- 左下叶 (LLL) 活检与心脏骤停显著相关 (p=0.001).
- 此外,LLL活检与患者死亡率也有显著的相关性 (p=0.010).
- 在心脏骤停和死亡的患者中,CAE在右冠状动脉 (RCA) 中发生的频率更高,但没有统计学意义.
结论:
- 对LLL的活检与心脏骤停和死亡率的风险增加有显著关联.
- CAE在RCA中的位置可能会影响结果,需要进一步调查.
- 需要更多的研究才能充分理解CAE位置与患者发病率/死亡率之间的关系.
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