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急性腹部:在急诊室对31例病例的死后分析 - - 一个单心的回顾性研究
Adrian Iosif Moldoveanu1, Maria Diana Orzaţă, Radu Gheorghe Dan
1Department of Surgery I, Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania; radu.dan@umft.ro.
急性腹部紧急情况,包括中腹性缺血,是致命的. 尸体解剖分析显示,COVID-19加剧了高凝血能力,增加了肠道死等疾病的死亡率.
科学领域:
- 紧急医疗 紧急医疗
- 病理学 病理学 病理学
- 胃肠病学 胃肠病学
背景情况:
- 急性腹部紧急情况是导致死亡的重要原因,通常是在手术干预之前发生的.
- 随着COVID-19大流行,血栓和炎症并发症出现,尤其是中肠缺血病例增加.
- 尸检研究对于了解急性腹部疾病中的致命机制至关重要.
研究的目的:
- 分析死后的急性腹部病例,以确定导致死亡率的人口,临床和病理因素.
- 调查COVID-19大流行对急性腹部紧急情况,特别是中肠缺血的影响.
- 为了将实验室和成像发现与尸检结果相关联,在致命的急性腹部病例中.
主要方法:
- 对31例死后急性腹部病例 (2019年1月 - 2023年12月) 的回顾性单心研究.
- 分析包括人口统计数据,临床表现,实验室结果,成像和尸检结果.
- 在COVID-19大流行期间与大流行前期间的病例比较.
主要成果:
- 69例急诊室死亡中的31例是由于急性腹部病理,主要是老年人,败血症患者.
- 在COVID-19期间,有9人死于介质性缺血症,这与SARS-CoV-2相关的高凝血性有关.
- 常见的致命疾病包括穿孔,破裂瘤,晚期瘤与周周炎,肠道缩和血栓形成.
结论:
- 急性腹部紧急情况的死亡率很高,需要早期识别,快速分拣和多学科护理.
- 尸体解剖分析提供了对致命机制的重要见解,支持了协议的改进.
- 了解SARS-CoV-2对高凝血能力的影响对于在流行病期间管理腹部紧急情况至关重要.
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