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在接受选择性和紧急手术的SARS-CoV-2患者中肺部并发症和死亡率
Alexander J Adams1, Nicolas Dohse2, Andrew Miller2
1Department of Orthopedic Surgery, Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
没有症状的患者检测出严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 的阳性,在手部手术后没有出现并发症. 死亡率为零,这表明这些患者的风险低.
科学领域:
- 外科手术的结果
- 传染性疾病 传染性疾病
- 麻醉学 麻醉学
背景情况:
- 患有急性严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 感染的患者面临术后肺部并发症和死亡风险增加,特别是在全身麻醉下.
- 手术延迟很常见,以减轻风险,但长期延迟可能导致发病率. 在SARS-CoV-2阳性患者手术的最佳时间和标准尚不清楚.
研究的目的:
- 为了评估手术后并发症在手术患者手术后测试阳性SARS-CoV-2.
主要方法:
- 在手部手术后60天内对21名阳性SARS-CoV-2 PCR测试患者 (26项手术) 的回顾性审查 (2020年3月 - 2021年3月).
- 收集的数据包括手术类型,麻醉,并发症,时间,症状发作和并发症. 患者记录被补充了电话采访.
主要成果:
- 在26项手术中,81%是紧急手术,19%是可选手术. 大多数患者 (73%) 无症状; 27% 有症状.
- 没有无症状患者出现并发症. 一位推迟手术的患者出现了骨折. 在全身麻醉下接受紧急手术的三名患有肺部疾病的患者患有肺部并发症.
- 总体死亡率为0%. 诊断SARS-CoV-2发生在手术前平均6天.
结论:
- 无症状SARS-CoV-2阳性患者的手术与肺部并发症和死亡率较低有关.
- 这些发现表明,无症状状态可能是减轻SARS-CoV-2患者手术风险的关键因素.
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