在患有自发细菌性腹膜炎的患者中,死亡率的预测因素
Danish Kumar1, Vijesh Kumar1, Raja Taha Yaseen Khan1
1Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Euroasian journal of hepato-gastroenterology
|January 13, 2025
概括
较高的白细胞计数,性流体乳酸盐和CTP/MELD-Na得分预测自发性细菌炎 (SBP) 患者的死亡率. 这些因素对于识别患有SBP的高风险个体至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 自发细菌性腹膜炎 (SBP) 是不补偿性慢性肝病的严重并发症,死亡率高.
- 在SBP中死亡率的预测因素尚未确立,需要进一步研究.
研究的目的:
- 确定诊断为自发性细菌腹膜炎 (SBP) 的患者死亡率的独立预测因素.
主要方法:
- 一项前性观察性研究包括142名患有SBP的肝硬化患者.
- 在住院期间和出院后的6个月内,对患者的死亡率进行了跟踪.
- 用多变量考克斯回归分析来确定预后因素.
主要成果:
- 高血清全白细胞计数 (TLC),性流体乳酸盐,CTP得分和MELD-Na得分在呈现时分别与死亡率增加有关.
- 血清白蛋白在未幸存者中显著降低.
结论:
- CTP和MELD-Na得分,白细胞计数升高,以及性流体乳酸是SBP患者死亡率的可靠预测指标.
- 这些发现可以帮助对SBP的风险分层和管理.
相关概念视频
Acute Pancreatitis II: Clinical Manifestations and Management
93
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
93
Pneumonia III: Complications and Assessment
153
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
153
Factors Affecting the Risk of Infection
11.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.3K


