伪膜性结肠炎是Covid-19的一个并发症
Stepan S Filip1, Rudolf M Slivka1, Andrii M Bratasiuk1
1UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE.
Wiadomosci lekarskie (Warsaw, Poland : 1960)
|May 1, 2024
概括
伪膜质结肠炎 (PMC) 发生在1.17%的COVID-19患者中,2021年的比率更高. 保守治疗对88.8%的PMC病例有效,但手术并发症增加了死亡率.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 由于COVID-19的流行,导致各种并发症的增加.
- 伪膜性结肠炎 (PMC) 是一种严重的胃肠道疾病.
- 了解COVID-19患者的PMC对于有效管理至关重要.
研究的目的:
- 分析COVID-19患者中伪膜性结肠炎的发生率和结果.
- 评估该人群中PMC的诊断方法和治疗策略.
- 为了确定影响COVID-19患者PMC死亡率的因素.
主要方法:
- 在2020-2022年期间治疗的96名PMC患者的回顾性分析.
- 通过临床数据,成像 (超声波,CT) 和内镜证实了诊断.
- 外科干预包括结肠切除,结肠直肠切除,结肠直肠切除,结肠直肠切除和洗.
主要成果:
- 在住院的COVID-19患者中,PMC发生在1.17%,发病率从2020年的0.62%上升到2021年的2.28%.
- 手术指示包括穿孔 (9.4%),腹膜炎 (85.5%) 和中腔血栓 (4.1%).
- 保守治疗在88.8%的病例中取得成功;整体死亡率为11.36%,随着手术并发症的增加至22.4%.
结论:
- 在COVID-19患者中,PMC的发生率在2021年显著增加.
- 在诊断外科PMC并发症方面,CT显示中度敏感度 (72%) 和低特异性 (58%).
- 虽然保守的治疗通常是有效的,但手术干预与较高的死亡率有关.
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