来自摄入外体的肝:临床特征和诊断挑战 - - 目前报告的病例的系统审查
Thanathip Suenghataiphorn1, Narisara Tribuddharat2, Pojsakorn Danpanichkul3
1Department of Internal Medicine, Griffin Hospital, Derby, CT, United States.
摄入外体引起的肝很少见,但很严重. 早期诊断需要高度的临床怀疑和放射性确认,即使没有摄入史.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
背景情况:
- 摄入外体的肝是不常见的,但严重.
- 延迟诊断可能会导致严重的并发症.
研究的目的:
- 审查与外体摄入相关的肝的临床特征,诊断方法和结果.
- 突出诊断中放射学确认的重要性.
主要方法:
- 对案例报告和系列的系统审查.
- 在MEDLINE,OVID,EMBASE数据库中搜索到2024年12月.
- 包括在中视觉确认异物体的病例.
主要成果:
- 分析了来自167项研究的178例病例.
- 平均年龄56岁,62%是男性;常见症状:腹痛 (83%),发烧 (78%).
- 鱼骨 (51%) 是最常见的异物体;链球菌物种是常见的分离物.
结论:
- 临床医生必须考虑在肝中摄入的异物,特别是当排除其他来源时.
- 外体的放射性证据对于诊断至关重要,即使没有明确的摄入史.
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