Objective: to investigate and analyze the causes of acupuncture injuries among nurses in emergency department during pre-hospital emergency treatment, to put forward improvement measures to reduce the incidence of acu...Objective: to investigate and analyze the causes of acupuncture injuries among nurses in emergency department during pre-hospital emergency treatment, to put forward improvement measures to reduce the incidence of acupuncture injuries. Methods: 189 nurses in the emergency department of hospitals in Guangxi were investigated by questionnaire, and the related factors of acupuncture injury in pre-hospital emergency treatment were analyzed. Results: 21 subjects (11.11%) experienced acupuncture injuries. With the highest incidence (57.14%) occurring while the ambulance was driving. The percentage of sharp injuries contaminated by blood and body fluids of patients was 52.38%. 88.89% of the nurses considered the bumpy and unstable journey were the main reason for the occurrence of acupuncture injury. Conclusion: acupuncture injury is a common phenomenon among nurses in emergency department during pre-hospital emergency treatment. The self-prevention consciousness needs to be strengthened, and the protective measures and system need to be further improved.展开更多
To further improve the ability of pre-hospital and in-hospital collaborative treatment, strengthen emergency multidisciplinary cooperation and construct a scientific, rational and efficient emergency system, under the...To further improve the ability of pre-hospital and in-hospital collaborative treatment, strengthen emergency multidisciplinary cooperation and construct a scientific, rational and efficient emergency system, under the support of former chairman Yu Xue-zhong, Dr. Li Chun-sheng and numerous colleagues in the industry, the Emergency Medicine Society of the Chinese Medical Association appeal to us to draft Construction of Emergency and Pre-hospital Platform. Based on this background, the platform of emergency and pre-hospital first aid helps to build a 'one horizontal and one Longitudinal' treatment model, using the horizontal and longitudinal patterns to integrate emergency medical resources to satisfy the automatic information integration and intelligent analysis sharing, realizing the emergency management visualization and medical information digitization, simplifying the medical process and establishing a perfect standard for the emergent diseases, thereby ultimately achieving efficient diagnosis and scientific treatment.展开更多
Background: Novel coronavirus pneumonia (NCP) and osteoporotic vertebral compression fractures (OVCF) are the high incidences of diseases in the elderly. During the epidemic period, if not treated in time, the complic...Background: Novel coronavirus pneumonia (NCP) and osteoporotic vertebral compression fractures (OVCF) are the high incidences of diseases in the elderly. During the epidemic period, if not treated in time, the complications are high and the mortality is high. If we do not pay attention to infection prevention and control in pre-hospital emergency care, it will lead to the first time infection of medical staff and in-hospital cross infection in emergency outpatient receiving area. The correct consideration of both and the establishment of perfect pre-hospital emergency treatment and infection prevention and control synchronous strategy is an important premise to ensure the stable, orderly and safe medical treatment. Objective: To explore the effect of synchronous implementation of pre-hospital emergency care, nursing and infection pre-vention and control for senile OVCF during the epidemic. In order to improve the efficiency of pre-hospital emergency care and prevent the spread of infection. Method: A total of 92 elderly patients with OVCF who received pre-hospital treatment in 18 hospitals in Zhangjiakou City during the epidemic prevention and control period from January 2020 to November 2022 and met the inclusion criteria were selected as research objects, including 24 males and 68 females, aged 65 - 82 (74.2 ± 2.2) years. All patients were associated with concomitant injuries and underlying diseases. All patients in this group underwent predictive pre-hospital rescue and infection prevention and control procedures. Results: All the 92 elderly patients with OVCF received timely pre-hospital treatment during the epidemic period, and no aggravation occurred of the 92 patients, 35 were in the high risk area, 10 were in the medium risk area, and 47 were in the low risk area. Exclude OVCF for NCP Patients were treated according to the conventional diagnosis and treatment principles. Suspected and confirmed cases are transferred to designated surgical hospitals for treatment. All patients were followed up 3 months, 6 months and 12 months after treatment. There was no death rate, high satisfaction of pre-hospital first aid, high diagnostic accuracy, and good curative effect. None of the rescue personnel had any infection rate, and no hospital infection transmission and nosocomial cross infection occurred. Conclusion: It is the first step to safely treat patients and prevent cross infection to establish a perfect synchronous strategy of pre-hospital first aid and infection prevention and control.展开更多
Objective: To investigate the occurrence of PTSD in pre-hospital emergency nurses and its related factors, and to compare the differences of neurotransmitter and immune-related factors between pre-hospital emergency n...Objective: To investigate the occurrence of PTSD in pre-hospital emergency nurses and its related factors, and to compare the differences of neurotransmitter and immune-related factors between pre-hospital emergency nurses who experienced traumatic events and those who did not develop PTSD and healthy people. How: Post-traumatic Stress Disorder Self-Rating Scale (PCL-C) tests were performed on pre-hospital emergency nurses in PTSD group, non-PTSD group and healthy control group, and the plasma monoamine neurotransmitters and serum cytokines were determined by double-antibody sandwich ABC-ELISA assay using enzyme-linked adsorption kit provided by Shanghai Xitang Biotechnology Co., Ltd. Results: 1) There were statistically significant differences in PCL-C scores between PTSD group, non-PTSD group and healthy group (p α between PTSD group, non-PTSD group and healthy group (p Conclusion: Pre-hospital emergency nurses should have early psychological intervention and guidance to reduce the occurrence of PTSD in emergency and emergency nurses.展开更多
Objective: to explore the effect of seamless pre-hospital emergency and emergency rescue on patients with acute myocardial infarction. Methods: our hospital within the last two years the rescue of 50 cases of patients...Objective: to explore the effect of seamless pre-hospital emergency and emergency rescue on patients with acute myocardial infarction. Methods: our hospital within the last two years the rescue of 50 cases of patients with acute myocardial infarction (mi), with the method of randomly selected from 25 patients were divided into group A (normal group), the other 25 patients in group B (optimization) in two groups of patients from the onset of symptoms to emergency personnel arrived at the treatment time, the percent of pass in and out of the emergency time, and after treatment were compared. Results: the first-aid effect rate of group B was higher than that of group A, and the satisfaction of first-aid measures of group B was higher than that of group A, the difference was significant, P<0.05. Conclusion: this emergency treatment measure is beneficial to improve the treatment rate of patients with acute myocardial infarction, this rescue measure can save the time of rescue and treatment, in addition, it is a new breakthrough in emergency medical treatment, worthy of promotion.展开更多
With the improvement of people's living standard and the continuation of healthy life, people's demand for emergency care is increasing. Pre-hospital emergency care plays an important role in rescuing patients...With the improvement of people's living standard and the continuation of healthy life, people's demand for emergency care is increasing. Pre-hospital emergency care plays an important role in rescuing patients and is a decisive factor in saving patients' lives. Nowadays, pre-hospital first aid mainly includes on-site first aid, monitoring of relevant vital signs sent to the hospital, and targeted treatment measures for different patients. Generally speaking, in pre-hospital first aid, due to the lack of first aid time and equipment, the possibility of dangerous situations in the first aid process increases, thus increasing the risk of first aid.展开更多
Objective: to study and analyze the application value of fiberoptic bronchoscopy-guided nasotracheal intubation in pre-hospital first aid. Methods: 60 pre-hospital emergency critical cases admitted in our hospital fro...Objective: to study and analyze the application value of fiberoptic bronchoscopy-guided nasotracheal intubation in pre-hospital first aid. Methods: 60 pre-hospital emergency critical cases admitted in our hospital from February 2020 to December 2021 were randomly divided into the research group and the control group with 30 cases in each group. All of them were treated with conventional pre-hospital emergency treatment. The research group was treated with nasotracheal intubation under the guidance of fiberoptic bronchoscope, while the control group was treated with open-vision endotracheal intubation. The effects of tracheal intubation and blood gas indexes before and after emergency treatment were evaluated and compared between the two groups.展开更多
Objective: To explore the therapeutic value of modified Valsalva manipulation in pre-hospital emergency treatment of paroxysmal ventricular tachycardia (PSVT). From January 2018 to December 2020, the patients with par...Objective: To explore the therapeutic value of modified Valsalva manipulation in pre-hospital emergency treatment of paroxysmal ventricular tachycardia (PSVT). From January 2018 to December 2020, the patients with paroxysmal ventricular tachycardia in our county from January 2018 to December 2020 were collected and randomly divided into standard group and variant group, with 30 cases in each group. Success rate of cardioversion and incidence of side effects. The success rate of sinus rhythm ECG conversion in standard group was significantly lower than that in improved group. The hospitalization rate of the improved group was significantly lower than that of the standard group. The incidence of chest tightness, dizziness, headache, hypotension and other adverse events in the deformation group is higher than that in the standard group, but the emergency treatment of tachycardia in the two groups before hospital can increase the success rate of heart conversion, reduce hospitalization, and will not significantly increase the incidence of side effects, which can be popularized and applied in pre-hospital emergency treatment.展开更多
目的 基于巨噬细胞自噬探讨参芩龙清肺培元颗粒的作用机制。方法 选择人类免疫缺陷病毒(HIV)/艾滋病(AIDS)合并肺部感染痰热壅肺证患者36例,应用流式细胞术检测治疗前后患者外周血T淋巴细胞亚群中CD4^(+)及CD8^(+)T淋巴细胞计数,巨噬细...目的 基于巨噬细胞自噬探讨参芩龙清肺培元颗粒的作用机制。方法 选择人类免疫缺陷病毒(HIV)/艾滋病(AIDS)合并肺部感染痰热壅肺证患者36例,应用流式细胞术检测治疗前后患者外周血T淋巴细胞亚群中CD4^(+)及CD8^(+)T淋巴细胞计数,巨噬细胞亚群CD11b、CD86、CD206的表达及巨噬细胞自噬探针CD11b+DALGreen、CD86+DALGreen、CD206+DALGreen的表达。ELISA法检测治疗前后血清肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β、IL-10、转化生长因子(TGF)-β1等炎性因子的表达。采用荧光定量PCR法检测治疗前后患者外周血中组蛋白去乙酰化酶(HDAC)2 m RNA、Unc-51样激酶1(ULK1)m RNA的表达。结果 治疗后,患者CD11b、CD206、CD11b+DALGreen、CD206+DALGreen、ULK1 m RNA表达明显升高(P<0.05);CD86、TNF-α、IL-1β、HDAC2 m RNA的表达明显下降(P<0.05);CD4^(+)T淋巴细胞计数、IL-10、TGF-β1表达呈上升趋势(P>0.05)。结论 参芩龙清肺培元颗粒可能通过调节HDAC2/ULK1信号轴,促进巨噬细胞自噬,调节M1/M2的平衡,抑制炎症反应,从而发挥治疗HIV/AIDS患者合并肺部感染的作用。展开更多
目的探讨AIDS相关T淋巴母细胞淋巴瘤(AIDS-related T lymphoblastic lymphoma,AR-T-LBL)患者的临床病理特征,并文献复习。方法选取2015—2024年首都医科大学附属北京佑安医院AIDS相关淋巴瘤(AIDS-related lymphoma,ARL)患者的临床及病...目的探讨AIDS相关T淋巴母细胞淋巴瘤(AIDS-related T lymphoblastic lymphoma,AR-T-LBL)患者的临床病理特征,并文献复习。方法选取2015—2024年首都医科大学附属北京佑安医院AIDS相关淋巴瘤(AIDS-related lymphoma,ARL)患者的临床及病理资料,筛选出AR-T-LBL病例,总结其临床病理特征,结合国内外报道的文献分析影响患者预后的因素。结果共纳入ARL患者143例,其中T细胞淋巴瘤6例,AR-T-LBL仅1例,患者32岁,男性,HIV感染史长,多处淋巴结累及,治疗2个疗程后去世,总生存期为7个月;结合文献报道的6例,AR-T-LBL均为男性,多伴骨髓受累,治疗方案不一,预后较差。结论AR-T-LBL病例罕见,易误诊,需及时活检进行病理学检查,早期明确诊断有利于患者治疗方案的选择。展开更多
目的探讨AIDS患者经外周置入中心静脉导管(peripherally inserted central catheter,PICC)所致的导管相关血栓(catheter related thrombosis,CRT)的发生现状及其影响因素。方法回顾性选取2019年12月至2024年12月首都医科大学附属北京佑...目的探讨AIDS患者经外周置入中心静脉导管(peripherally inserted central catheter,PICC)所致的导管相关血栓(catheter related thrombosis,CRT)的发生现状及其影响因素。方法回顾性选取2019年12月至2024年12月首都医科大学附属北京佑安医院接受PICC置管治疗的AIDS患者265例,依据血管超声结果分为血栓组(n=55)和无血栓对照组(n=210)。采用多因素logistic回归分析AIDS患者发生PICC-CRT的影响因素,采用ROC曲线评估相关影响因素对AIDS患者发生PICC-CRT的预测效能。结果265例患者中,男256例、女9例,年龄20~80岁,平均(44.0±13.3)岁。发生PICC-CRT者55例,发生率为20.75%,其中仅11例为有症状血栓,其余44例仅在超声检查时发现血栓。多因素logistic回归分析结果显示,携带导管天数越长(OR=1.008,95%CI:1.002~1.014,P=0.009)、D-二聚体水平越高(OR=1.001,95%CI:1.000~1.001,P=0.015)、HIV病毒载量越大(OR=2.782,95%CI:1.930~4.008,P<0.001)的AIDS患者发生PICC-CRT的风险越高。ROC曲线分析结果显示,HIV病毒载量预测PICC-CRT的AUC为0.903(95%CI:0.858~0.949,P<0.001),其预测效能优于D-二聚体水平和携带导管天数。结论AIDS患者PICC-CRT的发生率较高,且具有较强的临床隐匿性。携带导管天数、D-二聚体水平及HIV病毒载量是AIDS患者发生PICC-CRT的影响因素。临床应加强风险评估与动态监测,尤其对高危人群开展规律性超声筛查和早期干预,构建前瞻性防控体系,以降低PICC-CRT的发生风险,改善患者预后。展开更多
文摘Objective: to investigate and analyze the causes of acupuncture injuries among nurses in emergency department during pre-hospital emergency treatment, to put forward improvement measures to reduce the incidence of acupuncture injuries. Methods: 189 nurses in the emergency department of hospitals in Guangxi were investigated by questionnaire, and the related factors of acupuncture injury in pre-hospital emergency treatment were analyzed. Results: 21 subjects (11.11%) experienced acupuncture injuries. With the highest incidence (57.14%) occurring while the ambulance was driving. The percentage of sharp injuries contaminated by blood and body fluids of patients was 52.38%. 88.89% of the nurses considered the bumpy and unstable journey were the main reason for the occurrence of acupuncture injury. Conclusion: acupuncture injury is a common phenomenon among nurses in emergency department during pre-hospital emergency treatment. The self-prevention consciousness needs to be strengthened, and the protective measures and system need to be further improved.
文摘To further improve the ability of pre-hospital and in-hospital collaborative treatment, strengthen emergency multidisciplinary cooperation and construct a scientific, rational and efficient emergency system, under the support of former chairman Yu Xue-zhong, Dr. Li Chun-sheng and numerous colleagues in the industry, the Emergency Medicine Society of the Chinese Medical Association appeal to us to draft Construction of Emergency and Pre-hospital Platform. Based on this background, the platform of emergency and pre-hospital first aid helps to build a 'one horizontal and one Longitudinal' treatment model, using the horizontal and longitudinal patterns to integrate emergency medical resources to satisfy the automatic information integration and intelligent analysis sharing, realizing the emergency management visualization and medical information digitization, simplifying the medical process and establishing a perfect standard for the emergent diseases, thereby ultimately achieving efficient diagnosis and scientific treatment.
文摘Background: Novel coronavirus pneumonia (NCP) and osteoporotic vertebral compression fractures (OVCF) are the high incidences of diseases in the elderly. During the epidemic period, if not treated in time, the complications are high and the mortality is high. If we do not pay attention to infection prevention and control in pre-hospital emergency care, it will lead to the first time infection of medical staff and in-hospital cross infection in emergency outpatient receiving area. The correct consideration of both and the establishment of perfect pre-hospital emergency treatment and infection prevention and control synchronous strategy is an important premise to ensure the stable, orderly and safe medical treatment. Objective: To explore the effect of synchronous implementation of pre-hospital emergency care, nursing and infection pre-vention and control for senile OVCF during the epidemic. In order to improve the efficiency of pre-hospital emergency care and prevent the spread of infection. Method: A total of 92 elderly patients with OVCF who received pre-hospital treatment in 18 hospitals in Zhangjiakou City during the epidemic prevention and control period from January 2020 to November 2022 and met the inclusion criteria were selected as research objects, including 24 males and 68 females, aged 65 - 82 (74.2 ± 2.2) years. All patients were associated with concomitant injuries and underlying diseases. All patients in this group underwent predictive pre-hospital rescue and infection prevention and control procedures. Results: All the 92 elderly patients with OVCF received timely pre-hospital treatment during the epidemic period, and no aggravation occurred of the 92 patients, 35 were in the high risk area, 10 were in the medium risk area, and 47 were in the low risk area. Exclude OVCF for NCP Patients were treated according to the conventional diagnosis and treatment principles. Suspected and confirmed cases are transferred to designated surgical hospitals for treatment. All patients were followed up 3 months, 6 months and 12 months after treatment. There was no death rate, high satisfaction of pre-hospital first aid, high diagnostic accuracy, and good curative effect. None of the rescue personnel had any infection rate, and no hospital infection transmission and nosocomial cross infection occurred. Conclusion: It is the first step to safely treat patients and prevent cross infection to establish a perfect synchronous strategy of pre-hospital first aid and infection prevention and control.
文摘Objective: To investigate the occurrence of PTSD in pre-hospital emergency nurses and its related factors, and to compare the differences of neurotransmitter and immune-related factors between pre-hospital emergency nurses who experienced traumatic events and those who did not develop PTSD and healthy people. How: Post-traumatic Stress Disorder Self-Rating Scale (PCL-C) tests were performed on pre-hospital emergency nurses in PTSD group, non-PTSD group and healthy control group, and the plasma monoamine neurotransmitters and serum cytokines were determined by double-antibody sandwich ABC-ELISA assay using enzyme-linked adsorption kit provided by Shanghai Xitang Biotechnology Co., Ltd. Results: 1) There were statistically significant differences in PCL-C scores between PTSD group, non-PTSD group and healthy group (p α between PTSD group, non-PTSD group and healthy group (p Conclusion: Pre-hospital emergency nurses should have early psychological intervention and guidance to reduce the occurrence of PTSD in emergency and emergency nurses.
文摘Objective: to explore the effect of seamless pre-hospital emergency and emergency rescue on patients with acute myocardial infarction. Methods: our hospital within the last two years the rescue of 50 cases of patients with acute myocardial infarction (mi), with the method of randomly selected from 25 patients were divided into group A (normal group), the other 25 patients in group B (optimization) in two groups of patients from the onset of symptoms to emergency personnel arrived at the treatment time, the percent of pass in and out of the emergency time, and after treatment were compared. Results: the first-aid effect rate of group B was higher than that of group A, and the satisfaction of first-aid measures of group B was higher than that of group A, the difference was significant, P<0.05. Conclusion: this emergency treatment measure is beneficial to improve the treatment rate of patients with acute myocardial infarction, this rescue measure can save the time of rescue and treatment, in addition, it is a new breakthrough in emergency medical treatment, worthy of promotion.
文摘With the improvement of people's living standard and the continuation of healthy life, people's demand for emergency care is increasing. Pre-hospital emergency care plays an important role in rescuing patients and is a decisive factor in saving patients' lives. Nowadays, pre-hospital first aid mainly includes on-site first aid, monitoring of relevant vital signs sent to the hospital, and targeted treatment measures for different patients. Generally speaking, in pre-hospital first aid, due to the lack of first aid time and equipment, the possibility of dangerous situations in the first aid process increases, thus increasing the risk of first aid.
文摘Objective: to study and analyze the application value of fiberoptic bronchoscopy-guided nasotracheal intubation in pre-hospital first aid. Methods: 60 pre-hospital emergency critical cases admitted in our hospital from February 2020 to December 2021 were randomly divided into the research group and the control group with 30 cases in each group. All of them were treated with conventional pre-hospital emergency treatment. The research group was treated with nasotracheal intubation under the guidance of fiberoptic bronchoscope, while the control group was treated with open-vision endotracheal intubation. The effects of tracheal intubation and blood gas indexes before and after emergency treatment were evaluated and compared between the two groups.
文摘Objective: To explore the therapeutic value of modified Valsalva manipulation in pre-hospital emergency treatment of paroxysmal ventricular tachycardia (PSVT). From January 2018 to December 2020, the patients with paroxysmal ventricular tachycardia in our county from January 2018 to December 2020 were collected and randomly divided into standard group and variant group, with 30 cases in each group. Success rate of cardioversion and incidence of side effects. The success rate of sinus rhythm ECG conversion in standard group was significantly lower than that in improved group. The hospitalization rate of the improved group was significantly lower than that of the standard group. The incidence of chest tightness, dizziness, headache, hypotension and other adverse events in the deformation group is higher than that in the standard group, but the emergency treatment of tachycardia in the two groups before hospital can increase the success rate of heart conversion, reduce hospitalization, and will not significantly increase the incidence of side effects, which can be popularized and applied in pre-hospital emergency treatment.
文摘目的 基于巨噬细胞自噬探讨参芩龙清肺培元颗粒的作用机制。方法 选择人类免疫缺陷病毒(HIV)/艾滋病(AIDS)合并肺部感染痰热壅肺证患者36例,应用流式细胞术检测治疗前后患者外周血T淋巴细胞亚群中CD4^(+)及CD8^(+)T淋巴细胞计数,巨噬细胞亚群CD11b、CD86、CD206的表达及巨噬细胞自噬探针CD11b+DALGreen、CD86+DALGreen、CD206+DALGreen的表达。ELISA法检测治疗前后血清肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β、IL-10、转化生长因子(TGF)-β1等炎性因子的表达。采用荧光定量PCR法检测治疗前后患者外周血中组蛋白去乙酰化酶(HDAC)2 m RNA、Unc-51样激酶1(ULK1)m RNA的表达。结果 治疗后,患者CD11b、CD206、CD11b+DALGreen、CD206+DALGreen、ULK1 m RNA表达明显升高(P<0.05);CD86、TNF-α、IL-1β、HDAC2 m RNA的表达明显下降(P<0.05);CD4^(+)T淋巴细胞计数、IL-10、TGF-β1表达呈上升趋势(P>0.05)。结论 参芩龙清肺培元颗粒可能通过调节HDAC2/ULK1信号轴,促进巨噬细胞自噬,调节M1/M2的平衡,抑制炎症反应,从而发挥治疗HIV/AIDS患者合并肺部感染的作用。
文摘目的探讨AIDS相关T淋巴母细胞淋巴瘤(AIDS-related T lymphoblastic lymphoma,AR-T-LBL)患者的临床病理特征,并文献复习。方法选取2015—2024年首都医科大学附属北京佑安医院AIDS相关淋巴瘤(AIDS-related lymphoma,ARL)患者的临床及病理资料,筛选出AR-T-LBL病例,总结其临床病理特征,结合国内外报道的文献分析影响患者预后的因素。结果共纳入ARL患者143例,其中T细胞淋巴瘤6例,AR-T-LBL仅1例,患者32岁,男性,HIV感染史长,多处淋巴结累及,治疗2个疗程后去世,总生存期为7个月;结合文献报道的6例,AR-T-LBL均为男性,多伴骨髓受累,治疗方案不一,预后较差。结论AR-T-LBL病例罕见,易误诊,需及时活检进行病理学检查,早期明确诊断有利于患者治疗方案的选择。
文摘目的探讨AIDS患者经外周置入中心静脉导管(peripherally inserted central catheter,PICC)所致的导管相关血栓(catheter related thrombosis,CRT)的发生现状及其影响因素。方法回顾性选取2019年12月至2024年12月首都医科大学附属北京佑安医院接受PICC置管治疗的AIDS患者265例,依据血管超声结果分为血栓组(n=55)和无血栓对照组(n=210)。采用多因素logistic回归分析AIDS患者发生PICC-CRT的影响因素,采用ROC曲线评估相关影响因素对AIDS患者发生PICC-CRT的预测效能。结果265例患者中,男256例、女9例,年龄20~80岁,平均(44.0±13.3)岁。发生PICC-CRT者55例,发生率为20.75%,其中仅11例为有症状血栓,其余44例仅在超声检查时发现血栓。多因素logistic回归分析结果显示,携带导管天数越长(OR=1.008,95%CI:1.002~1.014,P=0.009)、D-二聚体水平越高(OR=1.001,95%CI:1.000~1.001,P=0.015)、HIV病毒载量越大(OR=2.782,95%CI:1.930~4.008,P<0.001)的AIDS患者发生PICC-CRT的风险越高。ROC曲线分析结果显示,HIV病毒载量预测PICC-CRT的AUC为0.903(95%CI:0.858~0.949,P<0.001),其预测效能优于D-二聚体水平和携带导管天数。结论AIDS患者PICC-CRT的发生率较高,且具有较强的临床隐匿性。携带导管天数、D-二聚体水平及HIV病毒载量是AIDS患者发生PICC-CRT的影响因素。临床应加强风险评估与动态监测,尤其对高危人群开展规律性超声筛查和早期干预,构建前瞻性防控体系,以降低PICC-CRT的发生风险,改善患者预后。
