影响3-5级损伤儿科患者血液动力稳定性的因素和影响:一项前性非随机比较研究
Rabea Ahmed Gadelkareem1, Ahmed Hamdan2, Amr Abou Faddan2
1Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Elgamaa Street, Assiut, 71515, Egypt. dr.rabeagad@yahoo.com.
BMC urology
|December 9, 2023
概括
保持血液动力学稳定对于成功保守地管理儿科高度损伤至关重要. 血压是实现这种稳定的关键独立因素,确保更好的患者结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 创伤外科 手术 创伤外科
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 关于血液动力学稳定对儿科高度损伤保守管理的影响的研究有限.
- 对于儿科损伤,保守治疗通常是首选的,但其在高度病例中的成功取决于患者的稳定性.
研究的目的:
- 评估初始血液动力学稳定对实施保守治疗对3-5级损伤的儿科患者的影响.
- 为了确定定义在保守治疗中实现和维持血液动力学稳定的因素.
主要方法:
- 从2020年7月到2022年6月,对儿科患者 (3-5级损伤) 的前性研究.
- 血液动力学稳定与不稳定患者在临床特征,稳定和保守治疗成功率方面的比较.
- 统计分析以确定血动力稳定性的显著差异和独立预测因素.
主要成果:
- 总体而言,74.4%的患者在保守的治疗中实现或保持了血液动力学稳定.
- 血液动力学稳定的患者在呈现时血压明显降低,血液瘤尺寸更小.
- 血压是唯一与维持血液动力学稳定性相关的独立因素 (p=0.022).
结论:
- 血液动力学稳定是有效和安全的,用于保守管理儿科高度损伤.
- 维持血液动力学稳定,特别是血压,对于成功的非手术治疗至关重要.
- 保守的管理显示了可比的输血和住院率,腎切除率低 (14%),死亡率为零.
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