评估腹部计算机断层扫描在源不明的败血症患者的临床效用:一项回顾性队列研究
Pei-Hsuan Ho1, Yi-Chih Lee1, Chip-Jin Ng1
1Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University, Linkou, Taoyuan City, Taiwan.
Medicine
|May 17, 2024
概括
计算机断层扫描 (CT) 有助于在急诊室的败血症患者中找到感染源. 阳性CT扫描,经常显示肝或肝炎,与更长的住院时间有关.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 紧急医疗 紧急医疗
背景情况:
- 在急诊室 (ED) 早期识别败血症来源是困难的.
- 计算机断层扫描 (CT) 可能会揭示隐藏的感染部位.
- 败血症诊断通常需要确定主要感染焦点.
研究的目的:
- 评估CT在识别ED患者的感染源中的有用性,这些患者患有败血症并且没有明显的感染焦点.
- 在这个患者队列中确定CT检测结果阳性的预测因素.
主要方法:
- 在ED的218名败血症患者的回顾性图表审查 (2020年7月 - 2021年6月).
- 收集的数据包括人口统计,生命体征,症状,实验室,干预措施和结果.
- 分析重点是CT发现,感染源和与临床/实验室数据的相关性.
主要成果:
- 139名 (63.8%) 患者的CT检测结果呈阳性,常见的是肝,肝炎和胆管炎.
- 阳性CT发现与较高的白细胞/中性粒细胞计数,较低的血红蛋白和更频繁的阳性血液培养相关.
- 阳性CT扫描的患者经历了更长的住院时间.
结论:
- 腹部CT是有价值的诊断感染源在未确定来源的选择性败血症患者.
- 白细胞病,贫血和中性粒细胞升高预测CT检测结果呈阳性.
- 通过CT识别感染源会影响患者的治疗和结果.
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