Rezultate: Vârsta medie a subiecţilor incluşi în studiu a fost 51 de ani. Diametrul mediu al colecţiilor intraabdominale a fost de 109 mm (34-250 mm), acesta corelându-se cu metoda de tratament aleasă (p<0.005): drenaj ghidat eco-endoscopic, drenaj percutan, intervenţie chirurgicală, ca monoterapie sau combinaţii între acestea. Mortalitatea peri-procedurală a fost de 9,3%, asociată în principal cu severitatea patologiei ori cu asocierea chirurgiei în tratament. Concluzii: În conluzie, prin studiul efectuat putem afirma că ecoendoscopia poate fi metoda de primă intenţie în a drena colecţiile intra abdominale perigastrice, pentru că reprezintă o metodă sigură şi eficientă, cu un success tehnic de 100% în timp ce succesul clinic de peste 80% asigură o mai bună calitate a vieţii. Pentru colecţiile ce au un diametru mai mare de 127 mm, ne putem aştepta totuşi la necesitate unui tratament combinat, ecoendoscopic şi chirurgical. Cuvinte cheie: colecţii intraabdominale, drenaj transgastric, percutan, chirurgie, ecoendoscopie
L'hémorragie gastro-intestinale chez les patients admis à l'unité de soins intensifs Introduction. L'hémorragie gastro-intestinale est une condition qui menace la vie du patient, ayant une mortalité qui dépend de sa cause et gravité. L'objectif de l'étude a été d'évaluer de manière rétrospective les aspects épidémiologique, clinique et évolutif de toute une série de patients diagnostiqués avec hémorragie gastro-intestinale, admis à l'
Orthostatic hypotension is a persistent decrease of systolic blood pressure by at least 20 mm Hg and/or diastolic blood pressure by at least 10 mm Hg in the first 3 minutes upon standing. Orthostatic hypotension is more common in the elderly patients, being one of relatively frequent causes of hospitalization in the elderly population. Orthostatic hypotension may be primary or secondary, acute or chronic. Its etiology is represented in most cases by the primary or secondary autonomic failure. Clinical manifestations of orthostatic hypotension occur after the transition from supine to standing, and are due to cerebral hypoperfusion. These consist of nausea, dizziness, generalized weakness, postural instability, fatigue, blurred vision. Cardiological and neurological consult are necessary for diagnosis. Pharmacological treatment of orthostatic hypotension is often unsatisfactory, imposing combination with non-pharmacological measures.
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