患有孤立胃肠道穿孔的患者的死亡率预测因素
Yi-Xing Yan1, Wei-Di Wang1, Yi-Liu Wei2
1Trauma Center and Emergency Surgery Department, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350000, P.R. China.
Experimental and therapeutic medicine
|November 9, 2023
概括
胃肠道穿孔手术的死亡率为10.59%. 患者死亡的关键风险因素包括晚年,入院时的休克,以及血清肌素和白细胞计数异常.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 紧急医疗 紧急医疗
背景情况:
- 胃肠 (GI) 穿孔是急诊室常见的诊断,死亡率很高.
- 确定死亡率预测因素对于患者管理和预后至关重要.
研究的目的:
- 为了确定患有胃肠道穿孔手术的患者的住院死亡率相关的风险因素.
- 评估和预测个别患者的手术结果.
主要方法:
- 对529名经过手术的肠道穿孔患者进行了回顾性队列研究.
- 收集的数据包括人口统计,临床特征,实验室结果和电子医疗记录的结果.
- 用单变量和多变量逻辑回归分析来确定死亡率预测因素.
主要成果:
- 住院死亡率为10.59%.
- 通过多变量逻辑回归确定的死亡率的独立预测因素包括晚年,入院时的冲击,血清肌素 (sCr) 升高和异常白细胞 (WBC) 计数 (<3.5x10^9或>20x10^9细胞/L).
结论:
- 晚年,入院时的冲击,sCr升高和明显异常的白细胞计数与胃肠道穿孔紧急腹腔切除术后的住院死亡率增加有关.
- 这些因素可以帮助预后和临床决策,为患者的胃肠道穿孔.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
69
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
69
Esophageal Perforation-I: Introduction
101
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
101
Inflammatory Bowel Disease I: Ulcerative Colitis
192
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
192
Appendicitis-I: Introduction
188
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
188
Inflammatory Bowel Disease II: Crohn's Disease
259
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
259
Peptic Ulcer Disease V: Surgical Management and Nursing Care
314
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
314


