在接受胆囊切除术的狗中,术后高血的发生率和临床相关性
Lara Brunori1, Cormac Dolan1, Neus Elias Santo-Domingo1
1Emergency & Critical Care Specialist Service, VetsNow 24/7 Pet Emergency & Specialty Hospital, Glasgow, United Kingdom.
Journal of veterinary internal medicine
|September 8, 2023
概括
在胆囊切除术后的狗中,术后的高血常见,显著增加死亡风险. 在手术后6小时内早期检测可能表明结果较差.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 手术并发症 手术并发症
- 关键的护理关键的护理
背景情况:
- 此前,在胆囊切除术后的狗中没有报告过术后的高血症.
- 这项研究调查了这种手术后狗中超血症的发生率和临床相关性.
研究的目的:
- 为了确定经过胆囊切除术的狗中术后高血的频率.
- 评估这种并发症的临床相关性,重点关注住院时间和生存率.
主要方法:
- 一项回顾性研究涉及37只在两个私人转诊医院接受胆囊切除术的狗.
- 对手术前和手术后血清度的分析,以确定高血血量 (血清>150mEq/L).
主要成果:
- 胆囊切除术后的56%的狗出现过高血症,并与明显更高的死亡率相关 (52%与12.5%相比).
- 在6小时内患上高血症的狗,不存活的几率是7.7倍. 达尔塔值≥10mEq/L也增加了死亡率.
- 患有胆囊粘囊的狗更容易患上术后高血和较差的结局. 住院时间没有显著差异.
结论:
- 手术后的高血是胆囊切除术后狗的频繁且具有临床意义的并发症.
- 在手术后6小时内早期发现高血症可能成为不良结果的预测因素.
相关概念视频
Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
15
Acute Pancreatitis II: Clinical Manifestations and Management
148
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
148
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
112
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
112
Endoscopic Studies II: Thoracocentesis
323
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
323


