维尼克斯菌膜炎:一个范围审查
Goran Augustin1, Mislav Herman2,3, Zrinka Hrgović4,5
1Department of Surgery, University Hospital Centre Zagreb, 10000 Zagreb, Croatia.
膜炎 (VCP) 是一种罕见的产后并发症,往往是晚诊断的. 早期识别腹痛,发烧和呼吸障碍是关键,手术洗作为主要治疗方法.
科学领域:
- 产科和妇科 产科和妇科
- 手术病理学手术病理学
- 围产儿医学 围产儿医学
背景情况:
- 膜炎 (VCP) 是一种罕见的疾病,在产后期早期呈现非特异性腹部症状.
- 由于症状与其他急性腹部疾病重叠,手术前诊断VCP具有挑战性.
- 识别风险因素和优化诊断和治疗对于改善母亲的结果至关重要.
研究的目的:
- 为了确定与Vernix caseosa外周炎 (VCP) 相关的风险因素.
- 评估VCP的早期诊断方法和治疗策略.
- 分析VCP病例中诊断时间,疾病严重程度和母亲的结果之间的关系.
主要方法:
- 使用PubMed,PubMed Central和谷歌学者进行了系统的文献审查,并遵守PRISMA指南.
- 搜索术语包括各种组合的"状膜炎"",孕产妇膜炎"",puerperium"和"产后".
- 从46份病例报告中提取的数据包括人口,临床,产科,诊断,治疗参数和母亲/新生儿结局.
主要成果:
- VCP主要影响到满期怀孕,其中87%是通过剖腹产 (CS) 产生的.
- 常见的症状包括腹部疼痛和发烧 (>38°C),呼吸障碍/呼吸障碍是常见的 (23.9%/15.2%).
- 手术前诊断很少 (4.3%),手术内诊断发生在60.9%,组织病理学证实VCP在89.1%;没有报告的孕产妇或新生儿死亡.
结论:
- 膜炎 (VCP) 主要发生在满期怀孕中,通常是剖腹产后,没有可识别的额外风险因素.
- 尽管诊断延迟,VCP没有报告的孕产妇或胎儿死亡率,手术洗是主要的治疗方法.
- 腹部疼痛,发烧和早产后呼吸障碍需要考虑VCP,皮质类固醇可能有益,而抗生素的效用有限.
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