重新拉皮切除术的时间在形创伤患者与损害控制拉皮切除术
Euisung Jeong1, Yunchul Park1, Hyunseok Jang1
1Division of Trauma, Department of Surgery, Chonnam National University Medical School and Hospital, Gwangju, South Korea.
The Journal of surgical research
|February 3, 2024
概括
对于重创伤的损伤控制腹腔切除术 (DCL) 后的重新腹腔切除术的时间不会显著影响结果. 专注于生理恢复,而不是严格的48小时窗口重新操作.
科学领域:
- 创伤外科 手术 创伤外科
- 手术重症监护手术重症监护
背景情况:
- 损伤控制腹腔切除术 (DCL) 对于治疗创伤患者严重出血至关重要.
- 由于缺乏明确的数据,DCL后重新拉巴切除术的最佳时间仍在争论中.
研究的目的:
- 为了比较在DCL后48小时前和48小时后进行的重新拉巴切除术的结果,在重创伤患者中.
- 为了确定特定的时间间隔是否会影响患者的康复和并发症.
主要方法:
- 在2012年1月至2021年9月期间接受DCL的160名重创伤患者的回顾性评估.
- 早期 (≤48小时) 和晚期 (>48小时) 重复拉皮切除组之间的初级关闭率,ICU停留,通风持续时间,死亡率和并发症的比较.
主要成果:
- 分析了101名患者 (70名早期,31名晚期),具有类似的基线特征.
- 在初级关闭 (91.4% vs 93.5%),ICU停留 (10 vs 12天),呼吸机日 (6 vs 7天),死亡率 (20.0% vs 19.4%) 或组之间的并发症率方面没有观察到显著差异.
结论:
- 对于不腹部创伤的DCL后重新拉巴切除术的时间应该根据凝血病和生理状况等因素进行个性化.
- 这项研究发现,在48小时前或48小时后进行的重新拉巴切除术的结果没有显著差异,这表明重点关注患者在任意时间范围内恢复.
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