极高的红细胞沉积率:与患者诊断和临床特征的关联
Esen Nur Holoğlu1, Mehmet Uzunlulu1, Cundullah Torun1
1Department of Internal Medicine Goztepe Training and Research Hospital, Istanbul Medeniyet University, Kadikoy/Istanbul, Türkiye.
概括
患有高红细胞沉率 (ESR) 的患者经常患有感染或癌症等严重疾病. 在这项关于ESR病例升高的研究中,恶性瘤与明显更高的死亡率有关.
科学领域:
- 内部医学 内部医学
- 临床病理学 临床病理学
背景情况:
- 红细胞沉积率 (ESR) 升高超过100毫米/小时,表明显著的潜在病理.
- 了解病因分布对于患者管理至关重要.
研究的目的:
- 为了确定ESR升高的原因 (> 100毫米/小时).
- 分析这些患者的人口统计学,并发症,实验室和结果差异.
主要方法:
- 对441名ESR>100毫米/小时的成年住院患者进行了回顾性观察研究.
- 从电子健康记录中收集的数据 (2015年5月 - 2021年6月).
- 病因被分类;临床结果和死亡率被评估.
主要成果:
- 传染病 (34%) 和恶性瘤 (31.5%) 是ESR升高的最常见原因.
- 总死亡率为64.4%,恶性瘤死亡率最高 (81.3%).
- 与死亡率相关的因素包括老年,高费里,糖尿病,心力衰竭和恶性瘤.
结论:
- 高ESR (>100 mm/h) 与严重的疾病有关,主要是感染和恶性瘤.
- 由于高死亡率,特别是癌症患者,迅速诊断和管理至关重要.
相关概念视频
Disorders of Erythrocytes
Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Rheumatic Heart Disease IV: Nursing Management
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Nephrotic Syndrome I : Introduction
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of fluid...
Nephrotic Syndrome II : Assessment and Medical Management
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document any history...
Nephrotic Syndrome III : Nursing Management
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...


