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在急性腐蚀性摄入中进行紧急手术干预:来自印度的单中心经验
Vikas Gupta1, Jimil Shah2, Thakur Deen Yadav1
1Department of Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
ANZ journal of surgery
|June 23, 2023
概括
紧急手术急性腐蚀性摄入导致高死亡率. 然而,重建性手术在急性阶段后的幸存者可能会成功,这表明长期改善结果的潜力.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 创伤外科 手术 创伤外科
背景情况:
- 急性腐蚀性摄入经常需要手术干预.
- 这种手术与显著的发病率和死亡率有关.
- 有限的数据存在于手术时间,类型,和后侵蚀性摄入后的并发症.
研究的目的:
- 分析急性腐蚀性损伤的外科干预的类型和时间.
- 为了确定与腐蚀性摄入后的紧急手术相关的并发症和结果.
- 为了评估重建性手术在幸存者的成功.
主要方法:
- 对接受急性腐蚀性摄入手术的患者进行回顾性单中心研究 (2003-2014).
- 收集的数据包括患者表现,内镜检查结果,手术指示,手术类型和随访.
- 对结果的分析,包括死亡率和重建程序的成功.
主要成果:
- 在170名患者中,有24名患者 (14.11%) 需要在摄入后平均9.92天内进行紧急手术.
- 周周炎 (41.7%) 和中炎 (29.2%) 是首要的外科治疗指示.
- 死亡率高 (54%),多器官衰竭是主要原因;早期 (<7天) 和晚期 (>7天) 的手术显示出相似的死亡率.
- 在11名幸存者中,有8名 (72%) 成功接受了重建性手术.
结论:
- 腐蚀性摄入的紧急手术患病率和死亡率很高.
- 尽管存在急性风险,但重建性手术在最初的关键阶段之后为幸存者提供了一个可行的选择.
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