航空消化器损伤的操作管理:在二十年内改善了生存率.
Patrick F Walker1, Samuel M Galvagno2, Ashutosh Sachdeva3
1R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.
The American surgeon
|June 7, 2023
概括
非阳性气消化器损伤很罕见,但严重. 管理方面的进步,包括ECMO和支架,在过去十年中提高了生存率至97.8%.
科学领域:
- 创伤外科 手术 创伤外科
- 手术创新 在外科创新.
- 空气消化管道管理管理
背景情况:
- 非阳性气消化损伤不常见,但可能致命.
- 这项研究调查了改进的管理策略是否提高了生存率.
研究的目的:
- 评估患者的生存趋势和相关因素与非iatrogenic空气消化损伤.
- 评估先进疗法对患者治疗结果的影响.
主要方法:
- 一级创伤登记的回顾性审查 (2000-2020年).
- 纳入标准:成年患者有空气消化道损伤,需要手术或内膜干预.
- 抽象的数据包括人口统计,伤害类型,干预措施和结果;进行了单变量分析.
主要成果:
- 95名患者经历了105次空气消化损伤 (68次气管,37次食道).
- 死亡率为9.6%,与血管损伤,形机制和早期研究年 (2000-2010年) 相关的比率更高.
- 在某些特定情况下使用了体外膜氧化 (ECMO) 和支架,有助于改善存活率.
结论:
- 空气消化道损伤的死亡率与血管创伤和治疗时代等因素有关.
- 在经过精心挑选的患者中采用ECMO和内膜支架可能有助于在过去十年中观察到的97.8%的存活率.
- 机构经验和先进的治疗选择对于管理这些复杂的伤害至关重要.
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