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在急性肺栓塞患者的预后因素中,多和心周溢出:一个多中心研究
Hans-Jonas Meyer1, Constantin Ehrengut2, Anar Aghayev3
1Department of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany. Hans-jonas.meyer@medizin.uni-leipzig.de.
Emergency radiology
|August 29, 2024
概括
在急性肺栓塞 (PE) 中,多流是常见的,并预测了30天的死亡率. 然而,心周溢血并没有显著影响这些患者的结果.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
背景情况:
- 急性肺栓塞 (PE) 是致病率和死亡率的重要原因.
- 在PE患者中,胸腔和心周溢出的预后价值仍然不确定.
- 以前的研究表明,排泄和更差的临床结果之间存在潜在的联系.
研究的目的:
- 在一大批急性PE患者中,研究肺和心周输液的预后意义.
- 为了确定这些排泄是否与30天死亡率的增加有关.
- 确定溢出特征在预测结果中的作用.
主要方法:
- 对1082名急性PE患者的回顾性分析.
- 用对比度增强的计算机断层扫描 (CT) 肺血管扫描诊断和量化肺部和心周溢液.
- 主要终点:30天死亡率.
主要成果:
- 11.7%的患者在30天内死亡.
- 在40.5%的患者中存在多流并与30天死亡率显著相关 (HR=2.52,p<0.001).
- 周心输液 (18.1%) 与30天死亡率没有显著相关 (HR=1.28,p=0.29).
结论:
- 流是急性PE的常见发现,并作为30天死亡率的独立预后标志物.
- 胸腔溢液的存在,无论其体积或密度如何,应在CT报告中进行风险分层.
- 在急性PE患者中,心周溢出具有有限的预后作用.
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