事件传播的流行病学:预测流行率.
Elena LeCompte1, Schafer Paladichuk2, Sadie Walter1
1Clinical Medicine, Pacific Northwest University of Health Sciences College of Osteopathic Medicine, Yakima, USA.
Cureus
|September 17, 2025
概括
隔膜发泄 (DE),隔膜异常升高,可能比以前想象的更常见. 将这种情况视为正常变异可以减少不必要的医疗手术.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 人体解剖学 解剖学 解剖学
背景情况:
- 隔膜发泄 (DE) 呈现为异常的隔膜升高.
- 痴呆症通常是无症状的,但可以模仿其他疾病,导致诊断挑战.
- 目前的文献缺乏关于DE患病率的可靠流行病学数据.
研究的目的:
- 为了调查半膜发泄的真实患病率.
- 为了确定在现有的医学文献中是否报告了DE的不足.
主要方法:
- 来自MIMIC-IV数据库的胸部X射线 (CXR) 的回顾性审查.
- 定义DE为>2.5厘米半膜升高,在正面和侧面视图中得到确认.
- 在包括放射科医生在内的四名审查员中评估了DE确认的评估者间可靠性.
主要成果:
- 在279个审查案件中,有196个 (70.3%) 符合纳入标准.
- 在196名患者中,有46名患者 (23.5%) 发现了ED的放射性证据.
- 这种患病率明显超过了以前报告的比率.
结论:
- 隔膜发泄可能比目前公认的更为普遍.
- 识别DE可以防止模仿病理的不必要的诊断工作.
- 承认DE是一种常见的解剖学变异可以减少诊断不确定性.
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