胰腺脱离性瘤患者的血管并发症 - 一个回顾性,单一的队列研究
Nadia Emad Lotfi Amin1, Mariam Lahchich1, Mikkel Parsberg Werge1
1From the Pancreatitis Centre East, Gastro Unit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark.
Pancreas
|February 10, 2025
概括
血管并发症,包括状静脉血栓症 (SVT) 和出血,在患有隔墙性瘤 (WON) 的患者中很常见. 然而,只有出血显著增加了这些患者的发病率和死亡率.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
背景情况:
- 急性胰腺炎 (AP) 可能导致隔墙性亡 (WON).
- WON与显著的血管并发症有关,包括出血和状静脉血栓症 (SVT).
研究的目的:
- 为了确定患有症状的WON.患者血管并发症的频率.
- 分析这些并发症,特别是出血和SVT对患者结局的临床影响.
主要方法:
- 对290名患有症状的WON患者进行了回顾性分析,这些患者接受了侵入性治疗.
- 评估出血 (需要输血,栓塞或手术) 和SVT (通过CT扫描诊断).
主要成果:
- 27%的患者出现了血管并发症 (78名患者中发生了87起事件).
- 在15%的患者中发生了SVT,9%的患者有出血;3%的患者有两者.
- 出血与急症监护室入院和住院死亡率的增加显著相关 (59%对38%的急症监护室,38%对13%的死亡率).
结论:
- 血管并发症在WON中很常见,但出血是增加发病率和死亡率的主要驱动因素.
- SVT通常在干预之前发生,而干预后出血事件更为常见.
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