急性脏病发作:一个12年的回顾分析
Sheldon Greenberg1, Kundan Jana1, Kalyana Janga1
1Division of Nephrology, Maimonides Medical Center, Brooklyn, New York, USA.
Nephron
|September 9, 2024
概括
急性脏梗塞 (ARI) 是一种罕见的疾病,经常错过. 心血管问题如心房动是常见的原因,甚至抗凝剂也可能无法预防它.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 放射学 放射学是指放射学
背景情况:
- 急性脏梗塞 (ARI) 是不常见的,并且经常被诊断不足.
- 非特异性症状和依赖于成像来诊断.
- 了解患者的个人资料和风险因素至关重要.
研究的目的:
- 描述急性脏病发作患者的情况.
- 为了确定与ARI相关的潜在风险因素.
- 为了探索ARI的病因类别.
主要方法:
- 单中心回顾性观察性研究 (2010-2022年).
- 包括诊断为ARI的住院患者.
- 排除慢性病例,阳性原因和非放射性证据.
- 将其分为心血管,高凝血和异常病组.
主要成果:
- 包括85名患者;平均年龄为61.6岁.
- 心血管原因 (49.4%),主要是心房动 (59.5%),是最常见的.
- 恶性病 (69.3%) 是高凝血组的主要原因.
- 异常发病组的患者年轻,BMI较高.
- 吸烟者具有显著更高的ARI风险.
- 48.2%的患者尽管接受了抗血小板/抗凝血剂治疗,但仍经历了ARI.
结论:
- ARI很罕见,诊断不足,并可能导致功能障碍.
- 在具有危险因素的年轻患者中考虑ARI,即使在抗凝药上.
相关概念视频
Classification of Illness
9.4K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
9.4K
Acute Pyelonephritis I: Introduction
1.5K
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
1.5K
Acute Pyelonephritis II: Diagnostic Studies and Management
842
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...
842
Urine Studies I: Urinalysis
2.6K
Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
2.6K
Investigation of Disease Outbreaks
74
Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
74
Acute Pancreatitis I: Introduction
24
Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
24


