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A Porcine Model of Acute Autologous Pulmonary Embolism
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症状和偶发性肺血栓塞栓症患者的特征
Başak Gönen1, Pervin Hanci2, Osman Nuri Hatipoğlu1
1Department of Chest Disease, Trakya University Hospital, Edirne, Türkiye.
Tuberkuloz ve toraks
|September 14, 2024
概括
大约28%的肺血栓塞栓症 (PTE) 病例是偶然诊断的. 与有症状的PTE患者相比,偶发PTE患者的恶性瘤发病率更高.
科学领域:
- 医疗成像医学成像
- 肺部医学 肺部医学
- 在瘤学瘤学.
背景情况:
- 肺血栓塞栓症 (PTE) 呈现出各种不同的临床表现.
- 计算机断层扫描 (CT) 的进步导致偶然诊断PTE的增加.
- 了解偶然PTE的特征对于诊断和管理至关重要.
研究的目的:
- 为了确定偶然诊断的PTE的频率.
- 为了比较症状和偶然诊断的PTE患者之间的病例特征.
主要方法:
- 对2022年诊断的148名PTE患者的回顾性分析.
- 人口数据,血栓位置,风险因素和治疗方法的比较.
- 分层分为症状 (临床怀疑PTE) 和偶然 (在成像期间诊断出其他原因) 组.
主要成果:
- 在148名患者中,42名患者 (28.3%) 被诊断为偶发性PTE.
- 在偶发性PTE病例中 (54.8%) 与症状性PTE病例 (28.3%) (p < 0.01) 相比,同时出现的恶性病变显著高.
- 两组之间没有观察到血栓位置的显著差异 (p > 0.05).
结论:
- 在这个队列中,几乎四分之一的PTE诊断是偶然的.
- 在患有PTE的患者中,恶性可能呈现出微妙或未被识别的症状.
- 偶然的PTE检测需要对癌症等潜在疾病进行彻底的调查.
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