心脏手术后流体积累的风险心脏手术后的风险
Atte Koskinen1,2, Jenni Aittokallio1,2, Jarmo Gunn3
1Department of Anesthesiology, Intensive Care, Emergency Care, and Pain Medicine, University of Turku, Turku, Finland.
JTCVS open
|January 11, 2024
概括
心脏手术后的术后液体积累是常见的,特别是在女性和体重较低的患者中. 这种多余的液体与更长的住院时间和新发动的心房动有关.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 接受心脏手术的患者在手术后面临高风险的液体积累.
- 这种并发症通常与长时间的手术时间和心肺旁路术的使用有关.
研究的目的:
- 为了确定心脏手术患者手术后液体积累的患病率.
- 调查液体积累与不良结果之间的关系.
主要方法:
- 一项前性单中心队列研究 (CAREBANK) 分析了1001名成人心脏手术患者.
- 患者按手术后体重增加≥5%分组;在住院期间和3个月和1年的随访期间跟踪不良事件.
主要成果:
- 59%的患者体重增加了≥5%. 这在女性,较低BMI患者,心力衰竭患者和手术前心房动患者中更为常见.
- 液体积累与需要重新手术和更长时间住院的出血相关.
- 在3个月的随访中,显著的体重增加与新发动的心房有关,但没有中风或心肌梗塞.
结论:
- 在心脏手术患者中,术后流体过量与不良结果有关.
- 某些患者群体,包括女性和心力衰竭或心房的人,更容易受到液体积累的影响.
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