不显露的腹膜炎:从综合系统性审查的洞察力
Mohamed Elnaggar1, Omar F Abbas2, Roaa Haddad3
1Hospital Medicine department, Hartford Hospital, Hartford, CT, USA.
Clinics and research in hepatology and gastroenterology
|June 18, 2025
概括
肺性胃炎是一种罕见的疾病,死亡率高,使用CT扫描进行诊断. 早期识别和多学科护理,包括抗生素和支持性治疗,可以改善患者的治疗结果和生存率.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 腹膜性胃炎是一种罕见的疾病,其特点是胃壁中的气体.
- 它与高死亡率有关.
- 早期诊断和治疗对于改善患者的结果至关重要.
研究的目的:
- 系统地审查病例报告和强调性胃炎系列.
- 分析患者的人口统计,临床表现,诊断方法和治疗结果.
主要方法:
- 对PubMed,Scopus,Web of Science和Embase数据库进行系统审查.
- 包括病例报告和病例系列关于腹膜炎的情况.
- 提取有关患者年龄,性别,症状,病原体,诊断结果和治疗方式的数据.
主要成果:
- 分析了116份病例报告/病例系列;平均年龄55岁,55%是男性. 常见的症状:腹痛 (90%),吐/恶心 (80%). Sarcina ventriculi 是一个常见的原因.
- CT扫描检测出95%的肺瘤变化. 内镜检查显示胃粘膜红疹 (80%) 和高白细胞症 (80%).
- 康复率为70%,死亡率为15%. 75%的人接受了医疗治疗 (抗生素,支持性护理),25%接受了手术.
结论:
- 强血性胃炎需要一个多学科的方法,以获得最佳的管理.
- CT成像对于诊断至关重要;治疗应该是个性化的.
- 早期识别和医学进步改善了生存率,尽管死亡率仍然很高.
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