影响腹膜透析相关腹膜炎诊断成像的因素
Khin Zar Li Lwin1, Marjorie Wai Yin Foo1,2, Mathini Jayaballa1,2
1Department of Renal Medicine, Singapore General Hospital, Singapore.
概括
腹腔透析 (PD) 腹膜炎的腹部成像通常以致病生物和临床症状为指导. 影像学的关键发现与PD患者的多微生物肠道感染,真菌感染和低血压有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 腹膜透析 (PD) 相关的腹膜炎是一个显著的并发症.
- 腹部成像在PD周周炎期间识别腹内病理的临床实用性尚未得到充分证实.
研究的目的:
- 为了确定预测在PD周周炎发作期间使用腹部成像的因素.
- 确定特定病原体,临床特征和PD周周炎的成像发现之间的关联.
主要方法:
- 从2013年1月到2024年7月,对PD周周炎发作进行了回顾性单中心研究.
- 在376名PD患者中分析了691次腹膜炎发作.
- 统计分析以确定成像使用的预测因素和与成像发现的关联.
主要成果:
- 51%的腹膜炎发作经历了腹部成像,在29%的病例中揭示了二次腹膜炎.
- 对多微生物肠道细菌,单个肠道细菌和真菌感染的成像更为频繁.
- 低血压,阴暗的废水和更高的PD废水细胞计数与成像相关;多微生物肠道感染与异常发现有关.
结论:
- 在PD周周炎中成像的使用受到致病生物和临床表现的影响.
- 多微生物肠道周周炎,真菌感染和低血压与关键的成像发现有关.
- 需要进行前性研究,以完善诊断准确度,并指导PD相关周周炎的成像决策.
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