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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

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以EUS为指导的皮肤间肝排水:一个多中心合作研究.

Haroon Shahid1, Amy Tyberg1, Avik Sarkar1

  • 1Gastroenterology, Robert Wood Johnson University Hospital, New Brunswick, NJ.

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概括

与皮肤导管排水 (PCD) 相比,内超声波 (EUS) 引导的排水为治疗肝提供了更安全,更有效的方法,导致更快的恢复和更少的并发症.

关键词:
一个的.的排水的排水.欧盟安全部队 (EUS)肝脏 肝脏 肝脏 肝脏通过皮肤排水.

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科学领域:

  • 胃肠病学 胃肠病学
  • 干预性内镜检查是干预性的内镜检查.
  • 肝病学 肝病学是一种肝病学.

背景情况:

  • 肝的管理传统上依赖于图像引导的皮肤穿刺技术.
  • 以内镜超声波 (EUS) 引导的排水已经成为一种潜在的更安全,更有效的替代方案.
  • 这项研究直接比较了EUS引导排水与皮肤导管排水 (PCD) 肝.

研究的目的:

  • 为了比较EUS引导排水的疗效和安全性与肝的皮肤导管排水 (PCD).
  • 评估关键结果,包括症状解决,住院,不良事件和程序要求.

主要方法:

  • 分析了2018年1月至2021年11月期间为肝接受EUS引导排水或PCD的患者登记.
  • 收集的数据包括人口统计,临床状态,的特征,手术细节,不良事件和手术后护理.
  • 包括74名患者 (30名EUS指导,44名PCD).

主要成果:

  • 在这两组中,技术成功率为100%.
  • 通过EUS引导的排水显示,症状缓解的时间显著缩短 (10.9天少) 和住院时间缩短 (5.2天).
  • 在EUS组经历了更少的重复会议 (平均2比7.7),更少的再接收 (10%比34%),显著减少不良事件 (17%比61%).

结论:

  • 通过EUS引导排水是治疗肝的有效和安全方法.
  • 它比PCD有优势,包括更快的症状解决,更短的住院时间,减少不良事件和更少的手术.
  • 对于右侧肝,EUS引导排水可能存在局限性.