应用一种新的静脉止血,以防止内镜缩膜切除术后延迟出血:一种倾向性得分匹配分析
Jinpei Dong1, Qiushi Feng2, Guigen Teng1
1Departments of Gastroenterology.
Journal of clinical gastroenterology
|August 30, 2023
概括
在高风险患者中,预防性静血剪贴显著减少了内镜缩切除术 (ES) 后的延迟出血. 这种方法是安全的,不会增加其他不良事件,如胰腺炎.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 手术创新 在外科创新.
背景情况:
- 经过内镜缩切除术 (ES) 后,延迟出血是一个显著的风险.
- 识别高风险患者对于预防ES后并发症至关重要.
研究的目的:
- 评估预防性静血剪贴在预防ES后延迟出血的疗效.
- 在这种情况下,评估使用静血片的安全性.
主要方法:
- 对接受ES的高风险患者的回顾性分析.
- 1:1倾向得分匹配和后勤回归分析.
- 血液静止片和对照组之间延迟出血率的比较.
主要成果:
- 静血片的使用与延迟出血率显著降低 (1.67%与7.5%相比).
- 后勤回归证实静血剪贴降低了延迟出血的几率.
- 没有观察到错误的剪贴放置或增加胰腺炎/超amylasemia的情况.
结论:
- 预防性静血剪贴在高风险个体中有效减少ES后延迟出血.
- 这种干预是安全的,不会增加其他不良事件的风险.
相关概念视频
Introduction to Hemostasis
8.3K
Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
8.3K
Anticoagulant Drugs: Low-Molecular-Weight Heparins
749
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
749
Esophageal Varices-II: Clinical Features and Management
94
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
94
Vascular Spasm
1.5K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
1.5K


