对COVID-19患者的描述性分析,这些患者需要对胃肠道出血进行内镜评估
Gianmarino Gianfrate1, Breanna Gillie1, Charles Renner2
1General Surgery, St Elizabeth Youngstown Hospital, Youngstown, USA.
患有SARS-CoV-2 (严重急性呼吸系统综合征冠状病毒2) 和严重胃肠道出血的患者面临更高的死亡率. 内镜干预与死亡风险增加有关,不管护理水平如何.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 胃肠道 (GI) 出血是SARS-CoV-2患者报告的一种并发症.
- 与SARS-CoV-2相关的胃肠道连续病变的临床意义仍在争论中.
- 与流行病有关的限制限制限制了内镜干预,阻碍了结果评估.
研究的目的:
- 为了评估SARS-CoV-2患者和同时临床显著的胃肠道出血的结果.
- 评估内镜干预对患者死亡率的影响.
- 分析影响该患者队列结果的因素.
主要方法:
- 研究了一组125名患有SARS-CoV-2和胃肠道出血的成年患者.
- 所有患者都接受了诊断内镜手术.
- 数据使用曼·惠特尼U测试和SPSS统计数据进行了分析.
主要成果:
- 总的死亡率为50% (62/125).
- 消化管胃管腺镜检查需要干预65%的病例;结肠镜检查16%的病例.
- 在需要内镜干预的患者中观察到较高的死亡率,不论是ICU入院.
结论:
- 患有需要内镜干预的肠道出血的SARS-CoV-2患者的死亡率更高.
- 这种增加的风险持续不管护理水平或患者特定因素.
- 需要进一步的研究来阐明机制和优化管理.
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