在接受下肢主要截肢的患者中,与手术内输血相关的外科因素
Anand V Ganapathy1, Elliott A Orloff2, Kenneth R Ziegler1
1Department of Surgery, Keck Hospital of USC, Los Angeles, CA, USA.
The American surgeon
|June 22, 2023
概括
在重大下肢截肢期间的手术内输血与糟糕的结果有关. 较低的手术前血红蛋白,较大的血液损失和较长的手术预测了输血需求,增加了死亡风险.
科学领域:
- 血管外科 血管外科
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 在接受主要下肢截肢 (LLA) 的血管患者中,手术内输血与术后结果的恶化有关.
- 确定预测输血需求的因素对于改善患者护理至关重要.
研究的目的:
- 为了确定与患有血管疾病继发的下肢大截肢 (LLAs) 患者的内科输血需要相关的外科因素.
主要方法:
- 从2015年到2020年进行的回顾性研究.
- 包括因血管疾病而接受膝下或膝上截肢的患者.
- 分析了与手术内输血要求相关的术后因素.
主要成果:
- 65名患者中有15名 (23%) 需要进行手术内输血.
- 与输血相关的因素:手术前血红蛋白降低,手术期间血液流失较大,手术持续时间较长.
- 输血患者经历了更长的住院时间和更高的死亡风险 (33%对10%).
结论:
- 在LLA患者的手术内输血与不良结果有关.
- 较低的初始血红蛋白,增加的血液损失和较长的手术预测了输血需求.
- 这些发现强调了优化术后管理的重要性,以减少输血需求并改善患者的治疗结果.
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