[大流行期间COVID-19患者的手术治疗]
V G Agadzhanov1, T V Khorobrykh1, S E Khmyrova1
1Sechenov First Moscow State Medical University, Moscow, Russia.
Khirurgiia
|June 28, 2023
概括
对于COVID-19病毒性肺炎患者的紧急手术显著增加了死亡率. 没有机械通风的微创手术提供了更好的预后,特别是对于那些患有癌症等并发症的人来说.
科学领域:
- 医学 医学 医学 医学 医学
- 手术 手术 手术 术 术
- 传染性疾病 传染性疾病
背景情况:
- COVID-19 (2019年冠状病毒疾病) 可以导致严重的病毒性肺炎.
- 在COVID-19患者中,有时需要紧急手术干预.
- 手术对COVID-19病毒性肺炎患者的影响尚未完全理解.
研究的目的:
- 分析COVID-19和病毒性肺炎诊断的患者的紧急手术结果.
- 确定影响这组患者手术预后的因素.
主要方法:
- 75名接受紧急手术的COVID-19患者的回顾性研究.
- 分析患者的并发症,包括心脏,肺,糖尿病,脏疾病,超重和癌症.
- 评估手术方法 (最小侵入性与扩展性) 和机械通风的使用.
主要成果:
- 在被研究的患者中,术后死亡率为42.6%.
- 没有机械通风的最小侵入性手术产生了更好的结果.
- 使用机械通风的扩大手术与肺炎的快速进展相关.
结论:
- 手术干预通常会使COVID-19病毒性肺炎患者的预后恶化.
- 紧急的微创手术,特别是没有机械通风,可以减轻风险.
- 在使用不那么侵入性的外科手术技术时,患有并发性癌症和其他严重并发性疾病的患者更有可能获得有利的结果.
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