患有神经性骨髓缩症的患者经常去急诊室,却没有得到正确的诊断
Gracyn J Campbell1, Bradley Bedell2, Michelle Akerman1
1Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY, USA.
患有神经性缩 (NA) 或帕森奇-特纳综合征的患者在初次急诊室或紧急护理访问时,往往没有得到正确的诊断. 这突显了诊断这种痛苦的外围神经病变的关键差距.
科学领域:
- 神经学 神经学
- 周围神经病变是一种神经病变.
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 神经性缩 (NA),也称为帕森奇-特纳综合征,是一种外围神经病变.
- 它的特点是严重的上肢疼痛和随后的肌肉虚弱.
研究的目的:
- 在症状发作时确定急诊室 (ED) 或急诊中心 (UCC) 对神经性肌缩 (NA) 的访问频率.
- 在这些初次诊所期间描述临床表现和诊断评估.
主要方法:
- 从两个站点对患者登记册的回顾性审查.
- 纳入标准要求根据临床迹象,症状,电诊断测试 (EDX) 和成像检查确认NA诊断.
- 通过患者调查和电子病历收集的数据.
主要成果:
- 在178名确定的患者中,30%访问了ED/UCC,43人满足了纳入标准.
- 56%的患者在最初的ED/UCC访问期间接受了成像 (X射线,MRI,超声波,CT).
- 23%没有得到特定的诊断,只有2%被诊断为NA;平均诊断延迟为117天.
结论:
- 大多数在症状出现时出现ED/UCC的NA患者的诊断是错误的.
- 在实现神经性肌缩的准确诊断方面存在显著的延迟.
更多相关视频
05:12Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
04:33Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
Published on: November 8, 2024
相关概念视频
Documentation of Nursing Diagnosis
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Myasthenia Gravis: Diagnostic Tests
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Acute Pancreatitis II: Clinical Manifestations and Management
Peripheral Artery Disease V: Postoperative Nursing Management
