经皮肤性利切除术后经历急性损伤的患者的临床考虑
Daniel A Reich1, Esra Adiyeke1,2,3, Tezcan Ozrazgat-Baslanti1,2,3
1University of Florida College of Medicine, Gainesville, FL 32610, USA.
Biomedicines
|June 28, 2023
概括
由于结石而接受皮肤透腎石切除术 (PCNL) 的患者中,近25%患有急性损伤 (AKI). 危险因素包括高血压和某些药物,导致更糟糕的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
背景情况:
- 急性损伤 (AKI) 是针对结石病的泌尿外科手术后经常出现的并发症.
- 透皮石切除术 (PCNL) 是一种常见的石切除手术.
- 对于PCNL后的术后AKI存在有限的数据.
研究的目的:
- 在接受PCNL的患者中确定术后AKI的患病率和严重程度.
- 在PCNL之后识别与AKI相关的风险因素.
- 了解AKI在这个患者群体中的临床结果.
主要方法:
- 在2012年至2019年期间,对417名接受PCNL治疗的患者进行了回顾性分析.
- 收集关于患者人口统计,并发症,药物和术后结果的数据.
- 统计分析以确定与AKI相关的风险因素和结果.
主要成果:
- 手术后AKI的患病率为24.9% (104/417名患者).
- 在那些患有AKI的人中,17.3% (18/104) 进展到第二阶段或更高.
- 严重的AKI风险因素包括高血压,周围血管疾病,慢性病,慢性贫血和使用皮质类固醇/抗真菌药物.
- AKI患者的心血管并发症,神经复发症,败血症和长时间的ICU停留率较高,住院和ICU停留时间增加.
结论:
- 术后的AKI是PCNL之后的一个重大问题,影响了近四分之一的患者.
- 识别和管理高血压和特定药物等风险因素可能会减轻AKI的发展.
- 进一步的研究对于优化患者护理和减少与PCNL后AKI相关的不良临床结果至关重要.
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