与出现的直肠外体管理相关的特征和结果:回顾性队列分析
Eric Frendt1, Momin Masroor2, Arman Saied2
1Emergency Department, Arrowhead Regional Medical Center, Colton, USA.
Cureus
|December 27, 2023
概括
急诊室对直肠外体的管理是有效的,超过50%的病例在床边成功治疗,没有并发症. 这种方法减少了手术室干预的需要和相关风险.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 外科手术的结果
背景情况:
- 由于物体的复杂性和可能导致诸如穿孔等严重并发症的可能性,对直肠外体的管理存在挑战.
- 之前的研究缺乏明确的最佳设置,以尽量减少异物提取期间的并发症率.
- 门外体检索是一种常见的急诊室呈现,需要仔细的临床评估.
研究的目的:
- 为了比较急诊室和手术室设置之间的并发症率,用于直肠外体的去除.
- 评估床边治疗与外科手术对直肠外体的疗效.
- 确定影响门外体提取结果的因素.
主要方法:
- 对接受直肠外体切除的成年患者的回顾性分析.
- 从2010年至2020年期间从一个大型县医院急诊部收集的数据.
- 结果的比较,包括并发症,麻醉类型和停留时间,在急诊室和手术室程序之间.
主要成果:
- 超过50%的直肠外体在急诊室成功被移除,没有任何并发症.
- 手术室干预与探索性腹腔切除术,大肠切除术和全身麻醉的更高率有关.
- 与在急诊室治疗的患者相比,在手术室治疗的患者经历了明显更高的并发症率和更长的住院时间.
结论:
- 门外体的急诊室管理显示出高成功率和低并发症概况.
- 在急诊室的床边检索是一种安全有效的策略,减少了对侵入性手术室手术的需求.
- 医生警,沟通和富有同情心的临床方法对于优化床边检索成功和最大限度地减少并发症至关重要.
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