带和胆管缩患者的临床过程
Sofia Brenes-Guzmán1, Jean Pierre Aurelus1, Susana Aideé González-Chávez2
1Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría Dr. Silvestre Frenk Freund, Departamento de Cirugía Pediátrica. Ciudad de México, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 7, 2024
概括
患有胆道缩症 (BA) 的儿童患带 (UH) 的可能性更高. 这种并发症与更严重的门高血压和BA患者的相关并发症有关.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 肝病学 肝病学是一种肝病学.
- 手术儿科手术小儿科
背景情况:
- 胆管缩 (BA) 是小儿肝硬化的主要原因,导致显著的发病率和死亡率.
- 胃肠道出血和门高血压等并发症是BA的关键问题.
- 椎 (UH) 已知与门高血压和肝硬化有关,但其在BA进展中的具体作用尚不清楚.
研究的目的:
- 为了确定同时存在的胆道缩和带 (BA-UH) 的流行率.
- 描述BA患者的临床演变,比较具有和没有UH的患者.
- 确定与UH存在有关的BA患者的发病率和死亡率的预后因素.
主要方法:
- 一个观察性,描述性,回顾性和纵向性的研究.
- 包括在三级儿科医院诊断出胆管缩症的患者.
- 对BA相关变量和临床结果的分析,根据UH的存在或不存在进行分层.
主要成果:
- 该研究包括56名BA患者;69.6%是女性.
- 在75%的病例中,椎与BA并存.
- 患有BA和UH的患者显示,门高血压 (80.4%),并发静脉网络,胃肠道出血,,食道变节的患病率显著更高.
结论:
- 胆管形患者患椎间的可能性增加.
- 在BA患者中,椎的存在与晚期门高血压及其并发症相关.
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