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使用圆度和其他相关因素,预测儿科急性肠内的肠死
Xin-Xin Xu1, Yi-Jin Cai2, Jia Liu3
1Department of Ultrasound, Affiliated Children's Hospital of Jiangnan University(Wuxi Children's Hospital, Wuxi, 214023, Jiangsu, China. szwqianfeng@126.com.
BMC pediatrics
|October 22, 2025
概括
在儿科内中,特定的超声波发现,如圆度和降低血流信号是肠道亡的关键指标. 这些因素有助于预测严重程度,并指导受影响儿童的治疗决策.
科学领域:
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
- 胃肠病学 胃肠病学
背景情况:
- 肠接是儿童常见的手术紧急情况.
- 肠道亡是肠接的严重并发症,需要及时诊断.
- 确定肠道亡的预测因素对于及时干预至关重要.
研究的目的:
- 为了调查与小儿肠道内所相关的危险因素.
- 识别超声波和预测肠道缩的临床特征.
主要方法:
- 对患有肠和肠的儿童的临床数据的回顾性分析.
- 与对照组进行比较,对照组用气溶液成功治疗.
- 使用后勤回归分析超声波表现和临床特征的分析.
主要成果:
- 患有肠死症的儿童较年轻 (<12个月),并呈现出血流信号减少 (<4级),腹溢出和血.
- 结核组中观察到圆度,同心环厚度,内除断片长度,头直径比,肠壁厚度和中性粒细胞与淋巴细胞比 (NLR) 的较高值.
- 逻辑回归确定圆度 (OR=1.397) 和血流信号<等级4 (OR=0.099) 作为肠死的独立预测因素.
结论:
- 超声波的参数,特别是圆度,是小儿内肠的重要预测因素.
- 血流信号分级是诊断肠死症的另一个独立预测指标.
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