烧伤中心患者面临上肢截肢的风险
Danielle A Thornburg1, Scott Swanson2, Philomene Spadafore1,2
1Mayo Clinic Arizona, Phoenix, AZ, USA.
诸如感染和手术干预,如切除和切除等因素,增加了烧伤患者上肢截肢的风险. 这些因素还导致更长的住院和重症监护室停留时间.
科学领域:
- 创伤外科 手术 创伤外科
- 烧伤护理 烧伤护理
- 传染性疾病 传染性疾病
背景情况:
- 烧伤中心的患者面临着超出烧伤的复杂情况,包括死性感染和创伤.
- 肢体的挽救并不总是可能的,需要截肢的烧伤患者.
- 确定预测截肢风险的因素对于优化患者护理至关重要.
研究的目的:
- 为了确定导致烧伤患者进行肢体截肢的因素.
- 为了比较需要上肢截肢的患者和不需要截肢的患者的特征.
主要方法:
- 从2000年到2019年,对烧伤中心患者的回顾性注册表审查.
- 对上肢截肢患者 (AP) 和非截肢患者 (NAP) 基于年龄,性别,TBSA%和损伤类型/位置的对对比.
- 统计分析以确定群体之间的显著差异.
主要成果:
- 上肢截肢患者经历了显著更长的住院和重症监护室停留时间.
- 截肢患者患上心脏,脏和肺部并发症的发病率较高.
- 在截肢组中,获得的感染,骨关节切除术和骨关节切除术的发生率明显更高.
结论:
- 阴道切除术,切除术和各种感染 (败血症,肺炎,伤口,尿道) 与长时间住院有关.
- 这些干预和并发症显著增加了烧伤患者上肢截肢的风险.
- 了解这些风险因素可以指导预防策略和治疗决策在烧伤护理.
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