一个现代系列的二级动脉肠 - 一个19年的经验
Sabine Sieber1, Albert Busch1,2, Mine Sargut3
1Department for Vascular and Endovascular Surgery and Munich Aortic Center (MAC), Technical University of Munich Hospital Rechts der Isar, Munich, Germany.
Vascular and endovascular surgery
|August 23, 2023
概括
二次性动脉肠是一个罕见但致命的疾病. 紧急手术显著增加了医院内死亡率,强调了在这些关键情况下及时干预的必要性.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 二次性动脉肠 (SAf) 是一种罕见且危及生命的并发症.
- 关于SAf的最佳治疗策略的证据有限.
- 了解SAF的表现,原因和结果对于改善患者管理至关重要.
研究的目的:
- 分析与二次大肠囊相关的症状,病因和危险因素.
- 根据程序细节和干预的紧迫性来评估结果.
- 确定影响SAf患者住院死亡率的因素.
主要方法:
- 在2003年至2021年期间入院的22名SAf患者的回顾性分析.
- 根据紧急情况与紧急手术干预结果的比较.
- 主要终点:住院死亡率.
主要成果:
- 该研究确定了22名患有SAf的患者 (68%是男性,平均年龄为70岁).
- 常见的症状包括胃肠道出血,疼痛和发烧.
- 紧急手术患者年龄较大,呼吸道并发症和住院死亡率较高 (50%与紧急手术的0%相比,P = .0033).
结论:
- 二次性动脉肠带有27%的高住院死亡率.
- 紧急呈现显著增加死亡风险.
- 及时诊断和治疗至关重要,但结果仍然很差,特别是在紧急情况下.
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