概括
呼吸重症监护室 (ICU) 患者的放射性纤维素腿部扫描显示,在治疗早期,异常扫描的发生率很低. 这项研究探讨了重症患者静脉血栓栓塞的非侵入性监测.
科学领域:
- 关键护理医学 关键护理医学
- 诊断成像 诊断成像 诊断成像
- 血管外科 血管外科
背景情况:
- 静脉血栓塞栓症 (VTE) 是急性呼吸衰竭患者的一个重大风险.
- 在某些高风险患者群体中,正在重新评估常规低剂量肝素预防.
- 对于有效的VTE管理,需要使用非侵入性监测策略.
研究的目的:
- 评估放射性纤维素腿部扫描用于检测呼吸重症监护室 (ICU) 患者的深静脉血栓症 (DVT) 的实用性.
- 评估在ICU入院的第一个星期中异常腿部扫描的发生率.
- 为其他静脉瘤预防和监测策略提供信息.
主要方法:
- 放射性纤维素腿部扫描对34名进入呼吸器ICU的患者进行了扫描.
- 在第一个ICU周对23名患者进行了扫描,在第一个星期之后对11名患者进行了扫描.
- 还收集了有关血栓塞发生率的尸检数据.
主要成果:
- 在23名患者中,有3名 (13%) 在第一周ICU期间显示出异常的腿部扫描.
- 在第一周后扫描的所有11名患者的腿部扫描正常.
- 尸检显示,血栓塞的发生率为20%,没有致命病例.
结论:
- 早期的放射性纤维素腿部扫描可以在呼吸器ICU患者的一个子集中检测DVT.
- 致命栓塞的低发病率表明,可能会从常规的肝素预防中转移.
- 对非侵入性监测进行进一步的研究,包括纤维原体腿部扫描和阻抗囊造影,对于这种人群的VTE管理是有必要的.
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