患有腹腔大动脉动脉瘤破裂的患者的初始症状:扩大三位一体的时间?
Peter Bergmark1, Mitra Sadeghi2,3, Mareia Talvitie2,3
1Emergency Department, Karolinska University Hospital Stockholm, Stockholm, Sweden.
Scandinavian journal of trauma, resuscitation and emergency medicine
|September 24, 2024
概括
一个新的诊断工具,修改的腹腔大动脉瘤破裂迹象 (MARS),与标志的标准三元相比,显著改善了破裂腹腔大动脉瘤 (rAAA) 的识别. 这有助于更快地诊断和治疗这种危急的疾病.
科学领域:
- 血管外科 血管外科
- 紧急医疗 紧急医疗
- 诊断工具 诊断工具 诊断工具
背景情况:
- 破裂腹腔大动脉动脉瘤 (rAAA) 的错误诊断导致治疗延迟和死亡率增加.
- 对于rAAA的经典三位一体的迹象仅在25-50%的患者中存在,使诊断复杂化.
- 患者对rAAA的初始呈现往往是复杂和具有挑战性的.
研究的目的:
- 为了确定验证rAAAs的患者的初始症状和症状.
- 评估一个扩展的诊断三元组,MARS是否可以提高rAAA的诊断准确性.
- 为了比较MARS的性能与标准三元符号 (STS).
主要方法:
- 在瑞典斯德哥尔摩县 (2010-2021) 进行的一项基于人口的研究确定了216名rAAA患者 (ICD代码171.3).
- 标准三位一体 (STS) 被定义为腹痛,昏迷和脉动性腹部质量.
- 修改后的腹腔大动脉瘤破裂迹象 (MARS) 包括疼痛症状,低血压症状和脉动质量/超声检测结果.
主要成果:
- 腹痛 (84%) 和头 (50%) 是最常见的初始症状.
- 只有13%的患者符合所有三个STS标准.
- 马尔斯发现35%的患者具有完整的扩展三元组,明显高于STS (P < 0.001).
- 与STS (48%) 相比,MARS (82%) 显著提高了诊断rAAA的整体准确性 (P < 0.001).
结论:
- 扩展的MARS标志为快速准确识别rAAA患者提供了更有效的工具.
- 实施MARS可以促进更快的诊断,改善rAAA护理途径中的患者结果.
- 建议进行进一步的研究,以评估MARS在各种医疗保健环境中的临床实施.
关键词:
在腹部,腹部.动脉瘤是一个动脉瘤.大动脉动脉瘤是一个大动脉动脉瘤.诊断错误是因为诊断错误.错误的诊断错误的诊断错误的诊断死亡率 死亡率 死亡率破裂的 破裂的 破裂的症状评估 症状评估 症状评估更多相关视频
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