梅奥的粘合剂概率得分预测了手术后发烧和手术内出血在迷你透皮脏切除术中的情况
Wei-An Chen1, Ho-Shiang Huang2, Ze-Hong Lu2
1School of Medicine, College of Medicine, National Cheng Kung University, Tainan, 704302, Taiwan.
World journal of urology
|July 26, 2023
概括
梅奥的粘合概率 (MAP) 评分预测了手术后发烧和出血在微型皮肤穿透瘤切除术 (mPCNL) 中. 较高的MAP分数表明风险增加,有助于泌尿科医生在mPCNL手术期间提高患者安全.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是指放射学
背景情况:
- 迷你透皮瘤切除术 (mPCNL) 的结果通常集中在石头清除上.
- 术后并发症,如感染和出血,需要更好的预测工具mPCNL.
研究的目的:
- 评估梅奥粘概率 (MAP) 评分在mPCNL中预测术后发烧和手术内出血的能力.
- 评估MAP得分作为mPCNL中围脂肪特征的预测指数.
主要方法:
- 对159名mPCNL患者的回顾性研究 (2018年7月-2022年1月).
- 从手术前的计算机断层扫描中获得的MAP分数.
- 手术后发烧和手术内出血 (血红蛋白下降) 被记录为并发症.
主要成果:
- 超过一半的患者的MAP得分≥3.
- 较高的MAP分数与手术后发烧和手术内出血的风险增加有关.
- 多变量分析确定了手术前的阳性尿液培养和更高的MAP得分作为发烧的预测因素;更高的MAP得分和更长的手术时间预测出血.
结论:
- 较高的MAP分数与mPCNL中术后发烧和手术内出血的风险增加相关.
- 该MAP评分作为一种新的,可访问的工具,为内分泌科医生提高mPCNL的安全意识.
更多相关视频
09:00Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
2.0K
07:17Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
Published on: May 9, 2018
8.1K
相关概念视频
Cardiac Catheterization I: Pre-Procedure Overview
65
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
65
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
