Baidu
map

Radiology:老年患者非破裂颅内动脉瘤的临床管理

2019-08-09 shaosai MedSci原创

背景:非破裂性动脉瘤(UIA)相对常见,诊断率越来越高,以老年患者为主(>65岁)。影像学随访常常用来评估UIA大小及形态变化,动脉瘤的增大是破裂的高危表现。然而,影像学随访的频率和间期尚不确定。本研究旨在评价65岁老年患者常规治疗(动脉瘤弹簧圈植入术)与4种不同临床策略的性价比对照。

背景:非破裂性动脉瘤(UIA)相对常见,诊断率越来越高,以老年患者为主(>65岁)。影像学随访常常用来评估UIA大小及形态变化,动脉瘤的增大是破裂的高危表现。然而,影像学随访的频率和间期尚不确定。本研究旨在评价65岁老年患者常规治疗(动脉瘤弹簧圈植入术)与4种不同临床策略的性价比对照。

本研究根据社会角度利用Markov决策分析模型进行分析。根据已发表文章确定年龄依赖性指标。分析包括年龄超过65岁、偶然发现UIA且未有蛛网膜下腔出血病史老年人。评价5种对UIA的临床决策:(a)年度MRA随访、(b)半年MRA随访、(c)每5年MRA随访、(d)仅在UIA发现后随访2年。对质量调整生命年(QALYs)结果进行评价。进行概率分析、单向及双向敏感性分析。

结果为,在诊断后前2两年进行随访是性价比最高的(花费$24 572,获益为13.73 QALYs),花最少的钱获最大的受益。该结论在概率分析、和单向分析中也是很明显的。动脉瘤增长的年增长率和破裂风险不一,有期限的影像学随访是最佳临床管理决策。如果未增长动脉瘤破裂风险超过7.1%,那应该尽快进行弹簧圈植入术。

本研究表明,对于非破裂颅内动脉瘤老年患者,常规预防性治疗或周期影像学随访不是一个性价比高的临床管理方法。对于具有破裂高危风险的患者来说应该采取更激进的办法,比如动脉瘤>7mm及后循环的动脉瘤。

原始出处:

Malhotra A, Wu X, Forman HP,et al.Management of Unruptured Intracranial Aneurysms in Older Adults: A Cost-effectiveness Analysis.Radiology.DOI:10.1148/radiol.2019182353

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (6)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1819599, encodeId=f885181959958, content=<a href='/topic/show?id=7dea9958321' target=_blank style='color:#2F92EE;'>#非破裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99583, encryptionId=7dea9958321, topicName=非破裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ce4238, createdName=dangious, createdTime=Sat Oct 26 12:25:00 CST 2019, time=2019-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373100, encodeId=f8c33e3100e3, content=老年患者的治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Sep 23 17:25:54 CST 2019, time=2019-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1487081, encodeId=5ee8148e08159, content=<a href='/topic/show?id=2b902295e5b' target=_blank style='color:#2F92EE;'>#临床管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22957, encryptionId=2b902295e5b, topicName=临床管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d89d8256855, createdName=shuangle, createdTime=Sat Aug 10 15:25:00 CST 2019, time=2019-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370981, encodeId=6f793e0981d2, content=好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/07/01/577acf4668c2eb760152040cdd4c4196.jpg, createdBy=dc3f5107879, createdName=最帅小男护, createdTime=Fri Aug 09 07:46:50 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370975, encodeId=66ca3e09750d, content=好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Fri Aug 09 05:44:10 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370972, encodeId=f82b3e097274, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Aug 09 01:08:31 CST 2019, time=2019-08-09, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1819599, encodeId=f885181959958, content=<a href='/topic/show?id=7dea9958321' target=_blank style='color:#2F92EE;'>#非破裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99583, encryptionId=7dea9958321, topicName=非破裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ce4238, createdName=dangious, createdTime=Sat Oct 26 12:25:00 CST 2019, time=2019-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373100, encodeId=f8c33e3100e3, content=老年患者的治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Sep 23 17:25:54 CST 2019, time=2019-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1487081, encodeId=5ee8148e08159, content=<a href='/topic/show?id=2b902295e5b' target=_blank style='color:#2F92EE;'>#临床管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22957, encryptionId=2b902295e5b, topicName=临床管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d89d8256855, createdName=shuangle, createdTime=Sat Aug 10 15:25:00 CST 2019, time=2019-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370981, encodeId=6f793e0981d2, content=好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/07/01/577acf4668c2eb760152040cdd4c4196.jpg, createdBy=dc3f5107879, createdName=最帅小男护, createdTime=Fri Aug 09 07:46:50 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370975, encodeId=66ca3e09750d, content=好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Fri Aug 09 05:44:10 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370972, encodeId=f82b3e097274, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Aug 09 01:08:31 CST 2019, time=2019-08-09, status=1, ipAttribution=)]
    2019-09-23 jyzxjiangqin

    老年患者的治疗。

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1819599, encodeId=f885181959958, content=<a href='/topic/show?id=7dea9958321' target=_blank style='color:#2F92EE;'>#非破裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99583, encryptionId=7dea9958321, topicName=非破裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ce4238, createdName=dangious, createdTime=Sat Oct 26 12:25:00 CST 2019, time=2019-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373100, encodeId=f8c33e3100e3, content=老年患者的治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Sep 23 17:25:54 CST 2019, time=2019-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1487081, encodeId=5ee8148e08159, content=<a href='/topic/show?id=2b902295e5b' target=_blank style='color:#2F92EE;'>#临床管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22957, encryptionId=2b902295e5b, topicName=临床管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d89d8256855, createdName=shuangle, createdTime=Sat Aug 10 15:25:00 CST 2019, time=2019-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370981, encodeId=6f793e0981d2, content=好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/07/01/577acf4668c2eb760152040cdd4c4196.jpg, createdBy=dc3f5107879, createdName=最帅小男护, createdTime=Fri Aug 09 07:46:50 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370975, encodeId=66ca3e09750d, content=好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Fri Aug 09 05:44:10 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370972, encodeId=f82b3e097274, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Aug 09 01:08:31 CST 2019, time=2019-08-09, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1819599, encodeId=f885181959958, content=<a href='/topic/show?id=7dea9958321' target=_blank style='color:#2F92EE;'>#非破裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99583, encryptionId=7dea9958321, topicName=非破裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ce4238, createdName=dangious, createdTime=Sat Oct 26 12:25:00 CST 2019, time=2019-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373100, encodeId=f8c33e3100e3, content=老年患者的治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Sep 23 17:25:54 CST 2019, time=2019-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1487081, encodeId=5ee8148e08159, content=<a href='/topic/show?id=2b902295e5b' target=_blank style='color:#2F92EE;'>#临床管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22957, encryptionId=2b902295e5b, topicName=临床管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d89d8256855, createdName=shuangle, createdTime=Sat Aug 10 15:25:00 CST 2019, time=2019-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370981, encodeId=6f793e0981d2, content=好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/07/01/577acf4668c2eb760152040cdd4c4196.jpg, createdBy=dc3f5107879, createdName=最帅小男护, createdTime=Fri Aug 09 07:46:50 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370975, encodeId=66ca3e09750d, content=好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Fri Aug 09 05:44:10 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370972, encodeId=f82b3e097274, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Aug 09 01:08:31 CST 2019, time=2019-08-09, status=1, ipAttribution=)]
    2019-08-09 最帅小男护

    好好好

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1819599, encodeId=f885181959958, content=<a href='/topic/show?id=7dea9958321' target=_blank style='color:#2F92EE;'>#非破裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99583, encryptionId=7dea9958321, topicName=非破裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ce4238, createdName=dangious, createdTime=Sat Oct 26 12:25:00 CST 2019, time=2019-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373100, encodeId=f8c33e3100e3, content=老年患者的治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Sep 23 17:25:54 CST 2019, time=2019-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1487081, encodeId=5ee8148e08159, content=<a href='/topic/show?id=2b902295e5b' target=_blank style='color:#2F92EE;'>#临床管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22957, encryptionId=2b902295e5b, topicName=临床管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d89d8256855, createdName=shuangle, createdTime=Sat Aug 10 15:25:00 CST 2019, time=2019-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370981, encodeId=6f793e0981d2, content=好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/07/01/577acf4668c2eb760152040cdd4c4196.jpg, createdBy=dc3f5107879, createdName=最帅小男护, createdTime=Fri Aug 09 07:46:50 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370975, encodeId=66ca3e09750d, content=好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Fri Aug 09 05:44:10 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370972, encodeId=f82b3e097274, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Aug 09 01:08:31 CST 2019, time=2019-08-09, status=1, ipAttribution=)]
    2019-08-09 yjs木玉

    好好好好好好

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1819599, encodeId=f885181959958, content=<a href='/topic/show?id=7dea9958321' target=_blank style='color:#2F92EE;'>#非破裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99583, encryptionId=7dea9958321, topicName=非破裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ce4238, createdName=dangious, createdTime=Sat Oct 26 12:25:00 CST 2019, time=2019-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373100, encodeId=f8c33e3100e3, content=老年患者的治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Sep 23 17:25:54 CST 2019, time=2019-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1487081, encodeId=5ee8148e08159, content=<a href='/topic/show?id=2b902295e5b' target=_blank style='color:#2F92EE;'>#临床管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22957, encryptionId=2b902295e5b, topicName=临床管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d89d8256855, createdName=shuangle, createdTime=Sat Aug 10 15:25:00 CST 2019, time=2019-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370981, encodeId=6f793e0981d2, content=好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/07/01/577acf4668c2eb760152040cdd4c4196.jpg, createdBy=dc3f5107879, createdName=最帅小男护, createdTime=Fri Aug 09 07:46:50 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370975, encodeId=66ca3e09750d, content=好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Fri Aug 09 05:44:10 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370972, encodeId=f82b3e097274, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Aug 09 01:08:31 CST 2019, time=2019-08-09, status=1, ipAttribution=)]
    2019-08-09 飛歌

    学习了很有用不错

    0

相关资讯

老年男性,间断腹痛10余年,请诊断!

患者10余年前出现间断腹痛,位于剑突下,程度较轻,为持续性隐痛,不伴放射,进食后疼痛可能缓解,持续数十分钟至数小时不等。患者无反酸、嗳气,无恶心、呕吐,无腹胀、腹泻。曾于外院行胃镜检查示“浅表性胃炎”,位于进一步治疗。2个月前开始出现左下腹痛,性质描述不清,程度中等,向左肋下及左腹股沟区放射,伴便意,大便性质正常,排便后腹痛可缓解。

老年男性,胸闷憋气、咳嗽、咳痰10年,请诊断!

患者于10年前无明显诱因出现胸闷憋气、咳嗽、咳痰,为少量白痰,于外院就诊,行胸部CT检查提示“肺大泡,肺气肿”,未予治疗。半年前无明显诱因再次出现胸闷憋气,劳累后加重,爬1层楼即感胸闷憋气,夜间可平卧入睡,偶有咳嗽、咳痰,为少量白痰。

JACC:青年和老年心衰伴保留型射血分数患者的比较研究

心衰伴保留型射血分数(HFpEF)被认为是老年疾病,青少年几乎不会患此疾病。本研究的目的旨在评估HFpEF患者的年龄、临床表现和预后之前的相关性。本研究纳入了3个大型HFpEF临床试验中左室射血分数≥45%的患者,并将患者根据年龄分为≤55 岁组(n=522),56-64岁组(n=1679),65-74岁组(n=3405),75-84岁组(n=2464)和≥85岁组(n=398)。比较了不同年龄段

老年女性患者全麻诱导致过敏性休克1例

患者女性73岁。现病史:绝经22年,22天前出现阴道间断流血时有时无鲜红色经妇科医生明确诊断为:子宫内膜癌。治疗方式:择期行广泛全子宫切除术。既往史:患者结肠癌术后30年,高血压病史10年,血压最高160/90mmHg,规律口服硝苯地平片控制,血压控制在130/70mmHg,糖尿病病史30年,近2年使用诺和灵30R早36U、晚34U皮下注射规律监测血糖FPG:9.3mmol/L,OGTT2h:10

老年男性,突发胸痛,请诊断!

患者,男,56岁,患者1天前突发胸痛,伴胸闷。

JACC:老年人心血管事件的风险标志物

随着年龄增长,心血管风险急剧增加,导致老年人群中几乎普遍存在基于风险的他汀类药物资格。为限制过度治疗,需确定真正低风险的老年人。JACC发表的一项研究旨在发现“负”风险标志物,以识别低短期风险的冠心病和心血管疾病老年人。

Baidu
map
Baidu
map
Baidu
map