血管内栓塞后动脉瘤下下垂体出血中医院内死亡率的预测因素
Valentina Opancina1,2,3, Nebojsa Zdravkovic4, Slobodan Jankovic2,5
1Department of Radiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Medicina (Kaunas, Lithuania)
|July 27, 2024
概括
动脉瘤下arachnoid出血 (ASAH) 患者治疗内血管面临高死亡率. 延迟性缺血,腹腔内出血和尿素水平升高是医院死亡的关键预测因素.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 神经外科 神经外科
背景情况:
- 动脉瘤下关节出血 (ASAH) 是一种具有高死亡率的严重疾病.
- 有限的单一中心数据存在于内血管治疗的ASAH患者的医院内死亡率.
- 这项研究调查了接受血管内线圈栓塞的ASAH患者在医院死亡的风险因素.
研究的目的:
- 分析患者的医院内死亡率 破裂的内动脉瘤治疗内血管线圈栓塞.
- 在这个患者队列中确定影响住院死亡率的风险因素.
主要方法:
- 追溯性,观察性,横截面研究.
- 纳入标准:成年人 (≥18岁) 患有急性SAH诊断在CT上,动脉瘤在DSA上,在症状发作后24小时内通过血管内线圈栓塞治疗 (2018年1月至2018年12月).
- 数据来自塞尔维亚克拉古耶瓦克大学临床中心收集的.
主要成果:
- 总共有66名患者被纳入; 19.7%在住院期间死亡.
- 调整后的分析显示出显著的死亡预测因素:延迟缺血性神经缺陷 (OR 16.3),第四腹腔血液 (OR 12.0),以及干预后尿素升高 (OR 12.6).
结论:
- 延迟的大脑缺血和心室内出血是ASAH中医院内死亡率的强有力的预测因素.
- 监测功能和尿素水平至关重要,因为尿素在栓塞后升高是一个显著的死亡风险因素.
相关概念视频
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:17Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
01:29Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...