术后高尿血 - - 选择性心脏手术患者的危险因素
Dominik Raos1,2, Ingrid Prkačin2,3, Điđi Delalić2
1Institute of Emergency Medicine of Zagreb County, 10000 Zagreb, Croatia.
Metabolites
|May 26, 2023
概括
心脏外科手术患者的术后高尿血与更长时间的重症监护室停留,增加机械呼吸和更高的循环不稳定性,功能衰竭和死亡等并发症率有关.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 高尿路血是已确定的心血管风险因素.
- 术后高尿素血症对心脏手术结果的影响需要进一步调查.
研究的目的:
- 评估手术后高尿血和接受选择性心脏手术的患者的不良结果之间的关联.
- 为了比较长时间机械通风,重症监护室 (ICU) 住院和术后并发症的发病率,在患有和没有术后高尿血症的患者之间进行比较.
主要方法:
- 在选择性心脏手术后对227名患者进行了回顾性分析.
- 患者被分为两组:患有术后高尿血症 (n=42) 和没有 (n=185) 的患者.
- 主要结局包括机械呼吸和ICU停留的时间;次要结局包括术后并发症和死亡率.
主要成果:
- 患有术后高尿血症的患者经历了显著更长的ICU治疗持续时间 (p=0.03) 和机械通风 (p<0.01).
- 血液循环不稳定性/低心输出综合征 (p<0.01),功能衰竭/连续静脉血液过 (p<0.001) 和死亡率 (p<0.01) 在高尿路血症组中较高.
- 手术前的特征,EuroSCORE,以及像高血压这样的并发症在各组之间是相似的.
结论:
- 手术后的高尿血与选择性心脏手术后的较差结果有关.
- 心脏手术后尿酸水平升高表明恢复时间延长,严重并发症和死亡风险增加.
- 监测和管理高尿路血症可能对改善心脏手术后患者的治疗结果至关重要.
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