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从2018年到2022年在西爪的末期病患者中血管接入注射器并发症的特征:一项回顾性观察性研究
Teguh Marfen Djajakusumah1, Putie Hapsari1, Prapanca Nugraha1
1Department of Surgery, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
International journal of nephrology and renovascular disease
|February 19, 2024
概括
诸如伪动脉瘤之类的血管接入并发症在接受血液透析的末期病 (ESKD) 患者中很常见. 手术管理取决于血管质量的大小,缺陷和血液瘤.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗并发症 医疗并发症
背景情况:
- 末期病 (ESKD) 需要血液透析,增加血管接入并发症.
- 血管接入管道并发症,包括伪动脉瘤,是常见的,并导致住院治疗.
- 这些并发症范围从轻微的血瘤到严重的出血,需要紧急手术.
研究的目的:
- 分析ESKD患者血管接入管道复杂症的临床病理特征.
- 评估这些血管并发症的外科治疗策略.
- 为了确定并发症严重程度和手术干预之间的关系.
主要方法:
- 对121名ESKD患者进行了回顾性观察性研究.
- 数据来自印度尼西亚西爪一家高等医院的血管和内血管外科.
- 从医疗记录中提取的临床病理学特征和手术管理细节.
主要成果:
- 最常见的血管并发症是破裂的伪动脉瘤 (52.9%),即将破裂的伪动脉瘤 (23.1%),以及伪动脉瘤 (17.4%).
- 主要的外科手术包括排气静脉绑定 (38.8%),动脉主修复 (23.1%),动脉补丁修复 (14.9%).
- 在出血症状和膨胀质量 (p=0.001) 之间,以及血管质量/缺陷大小,血液瘤和外科手术类型 (p<0.010) 之间发现了显著的关系.
结论:
- 破裂,即将破裂和伪动脉瘤是ESKD患者血管接入的重大并发症.
- 手术程序与血管质量,缺陷和血液瘤的大小有显著关系.
- 了解这些关系有助于管理血液透析患者的血管接入并发症.
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