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Eur Radiol：胸穿取活检常发生咯血，这到底是谁在捣鬼？！

2017-12-18 shaosai MedSci原创

胸穿咯血主肺动脉
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本研究旨在评价锥形束CT（CBCT）引导下经皮经胸穿刺活检（PTNB）术后咯血的危险因素，尤其是探究是否主肺动脉管径扩大（mPAD）是PTNB相关咯血的危险因素，并将结果发表在Eur Radiol上。

本研究旨在评价锥形束CT（CBCT）引导下经皮经胸穿刺活检（PTNB）术后咯血的危险因素，尤其是探究是否主肺动脉管径扩大（mPAD）是PTNB相关咯血的危险因素，并将结果发表在Eur Radiol上。

本研究共纳入了3840例患者共行4172次CBCT引导下PTNBs。在术前CT图像中测量不同数据（包括mPAD），并采用Logistic回归分析确定咯血及重度咯血的危险因子，重度咯血是指需要输血、发生血栓栓塞或心肺复苏的患者。

在所有PTNB术中，共有5.78 % (241/4172)发生了咯血，而重度咯血发生率为0.18 % (7/4172)。女性、抗血小板或抗凝药服用史、活化部分凝血时间延长、亚实性结节、空洞结节和胸膜到目标距离较长是咯血的独立危险因子，而mPAD扩大(> 29.5 mm)并不是咯血的危险因子。关于重度咯血，mPAD扩大、亚实性结节及空洞结节是其独立危险因子。

本研究表明，mPAD扩大并不是PTNV相关咯血的显着危险因子；然而，它切实重度咯血的显着危险因子。

原始出处：


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    2017-12-24 半夏微凉

    学习了谢谢分享

    0

  2. 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    2017-12-20 smlt2008

    #活检#

    0

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    2017-12-20 feather80

    #咯血#

    0

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    2017-12-20 半夏微凉

    学习了谢谢分享

    0

  5. 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    2017-12-19 1e1b8538m79(暂无匿称)

    不错的文章值得推荐

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Tue Dec 19 07:35:50 CST 2017, time=2017-12-19, status=1, ipAttribution=)]
    2017-12-19 太上老君1968

    henhao

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Tue Dec 19 07:35:50 CST 2017, time=2017-12-19, status=1, ipAttribution=)]
    2017-12-19 sunfeifeiyang

    学习

    0

  8. 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createdName=smlt2008, createdTime=Wed Dec 20 13:52:00 CST 2017, time=2017-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1468547, encodeId=09ab146854e8d, content=<a href='/topic/show?id=49dd3980615' target=_blank style='color:#2F92EE;'>#咯血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39806, encryptionId=49dd3980615, topicName=咯血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0e3d6916225, createdName=feather80, createdTime=Wed Dec 20 13:52:00 CST 2017, time=2017-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270928, encodeId=07df2e09285c, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Wed Dec 20 13:36:57 CST 2017, time=2017-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270728, encodeId=593a2e07287c, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Tue Dec 19 23:15:03 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270576, encodeId=a5292e0576fd, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/0, createdBy=508e2136543, createdName=太上老君1968, createdTime=Tue Dec 19 09:55:33 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270565, encodeId=a82f2e056575, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Tue Dec 19 09:49:12 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270541, encodeId=b6c42e0541b6, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Tue Dec 19 08:46:04 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270538, encodeId=3cee2e05383d, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18741984753, createdName=smartxiuxiu, createdTime=Tue Dec 19 08:43:42 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270513, encodeId=971e2e0513f7, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Tue Dec 19 07:35:50 CST 2017, time=2017-12-19, status=1, ipAttribution=)]
    2017-12-19 jihuaijun1112

    学习学习学习

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=272197, encodeId=ef472e2197c0, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Sun Dec 24 20:23:05 CST 2017, time=2017-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1278063, encodeId=77a312e806383, content=<a href='/topic/show?id=d34e6523544' target=_blank style='color:#2F92EE;'>#活检#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65235, encryptionId=d34e6523544, topicName=活检)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c39f145, createdName=smlt2008, createdTime=Wed Dec 20 13:52:00 CST 2017, time=2017-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1468547, encodeId=09ab146854e8d, content=<a href='/topic/show?id=49dd3980615' target=_blank style='color:#2F92EE;'>#咯血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39806, encryptionId=49dd3980615, topicName=咯血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0e3d6916225, createdName=feather80, createdTime=Wed Dec 20 13:52:00 CST 2017, time=2017-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270928, encodeId=07df2e09285c, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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createdBy=508e2136543, createdName=太上老君1968, createdTime=Tue Dec 19 09:55:33 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270565, encodeId=a82f2e056575, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Tue Dec 19 09:49:12 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270541, encodeId=b6c42e0541b6, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Tue Dec 19 08:46:04 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270538, encodeId=3cee2e05383d, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18741984753, createdName=smartxiuxiu, createdTime=Tue Dec 19 08:43:42 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270513, encodeId=971e2e0513f7, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Tue Dec 19 07:35:50 CST 2017, time=2017-12-19, status=1, ipAttribution=)]
    2017-12-19 smartxiuxiu

    学习

    0

  10. 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createdName=smlt2008, createdTime=Wed Dec 20 13:52:00 CST 2017, time=2017-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1468547, encodeId=09ab146854e8d, content=<a href='/topic/show?id=49dd3980615' target=_blank style='color:#2F92EE;'>#咯血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39806, encryptionId=49dd3980615, topicName=咯血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0e3d6916225, createdName=feather80, createdTime=Wed Dec 20 13:52:00 CST 2017, time=2017-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270928, encodeId=07df2e09285c, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Tue Dec 19 07:35:50 CST 2017, time=2017-12-19, status=1, ipAttribution=)]
    2017-12-19 明月清辉

    谢谢分享.学习了

    0

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