我们可以预测在克里米亚-刚果出血热的入院出血吗?
Sinan Çetin1, Ahmet Melih Şahin1
1Giresun University, Department of Infectious Diseases and Clinical Microbiology, Giresun, Turkey.
概括
克里米亚 - 刚果出血热 (CCHF) 中的出血是由高甲和延迟住院预测的. 这些因素显著增加了CCHF患者出血的风险.
科学领域:
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
- 临床医学 临床医学
背景情况:
- 出血并发症显著影响了克里米亚 - 刚果出血热 (CCHF) 的预后.
- 识别出血的危险因素对于有效的CCHF管理至关重要.
研究的目的:
- 确定CCHF患者出血发展的独立风险因素.
- 通过预测出血风险,帮助临床管理CCHF.
主要方法:
- 74名CCHF患者的回顾性分析,分为出血和非出血组.
- 对人口,临床和实验室参数进行后勤回归分析,以确定风险因素.
- 接收器操作特征 (ROC) 分析,以确定数值变量的切断值.
主要成果:
- 前素,从症状发作到入院的几天,血小板数和d-二次体是出血的独立危险因素.
- 甲素升高显示出最强的关联,每单位增加大约5.3倍增加出血风险.
- LDH和费里丁显示出高灵敏度,而公素显示出高特异性在分辨出血.
结论:
- 特定的临床和实验室变量可以预测CCHF的出血.
- 升高的前素水平和延迟入院是CCHF出血的重要预测因素.
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