患有急性胆管炎的COVID-19患者的结果:单中心回顾性分析
Deiana Vuletici1,2, Bogdan Miutescu1,2, Calin Burciu1,2,3
1Department of Gastroenterology and Hepatology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
Medicina (Kaunas, Lithuania)
|August 29, 2024
概括
冠状病毒疾病2019 (COVID-19) 显著增加了急性胆管炎 (AC) 患者的住院时间. COVID-19也影响了ACAC的情况.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 急性胆道炎 (AC) 是一种严重的胆道感染.
- 冠状病毒疾病2019 (COVID-19) 对AC患者结果的影响需要进一步调查.
研究的目的:
- 为了评估COVID-19对AC患者的影响.
- 为了比较COVID-19和没有COVID-19的AC患者之间的结果,并发症和住院时间.
主要方法:
- 241名AC患者的回顾性观察队列研究 (2020年4月至2022年2月).
- 患者被分为COVID-19阳性和阴性组.
- 对AC的诊断遵循了2018年东京指南 (TG18);进行了胆汁培养.
主要成果:
- COVID-19组年龄较大 (74.3岁对67.3岁),并且更频繁地出现腹痛 (90%对70.6%).
- 对于COVID-19患者来说,住院时间更长 (13.5天而不是7.9天).
- 恶性原因的AC,特别是胰腺癌 (30%),和*假发* spp. 患病率 (16.7%对比5.7%) 在COVID-19组中更高.
结论:
- 在AC患者中,COVID-19显著延长了住院时间.
- COVID-19 感染与 AC 中不同的微生物特征有关,包括增加的 * 伪omonas * spp.
- 在COVID-19患者中观察到的恶性AC的较高发病率需要进一步研究.
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