在成年人中急性肺炎. 我们应该采用儿科指南吗?
Binyamin B Neeman1, Ilan Kafka1, Ariel Mamber1
1Department of Urology & Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel.
Urologia
|December 24, 2024
概括
膀中风逆流 (VUR) 是常见的在他们的第一个炎症发作后的成年人. 建议对VUR进行调查,特别是对损伤指标进行调查,以指导治疗决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 没有指导方针用于成年人第一次发炎发作时的囊泡影像.
- 膀回流 (VUR) 是一个已知的疾病,但其发病率和管理在成人后肌炎需要进一步澄清.
研究的目的:
- 为了确定VUR的发病率在成人患者住院治疗他们的第一个发疹炎.
- 在这个患者群体中提供VUR调查的建议.
主要方法:
- 对2006年至2022年间被诊断患有急性肺炎的成年患者进行了回顾性审查.
- 没有先前泌尿病史的患者被建议在出院后接受排泄性囊尿路电图 (VCUG) 或对比增强排泄性尿声图 (CEVUS).
主要成果:
- 确定了76名成年患者 (平均年龄为31.73岁);63%的人患有右侧肌炎.
- 在23名完成VCUG/CEVUS的患者中,有14名 (60%) 检测到VUR.
- 反流症等级从I到IV不等,在受影响的脏中观察到显著的功能障碍.
结论:
- 经历了第一个肺炎发作的成年人表现出VUR的高发病率.
- 应考虑对这些患者进行VUR检查,特别是如果存在脏病,,痕,缩或水缩的迹象.
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