在开放的气道重建中出现并发症的时间
Elizabeth A Shuman1, Yun J Kim2, Jack Rodman3
1Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California, USA.
The Laryngoscope
|February 23, 2024
概括
气管切除 (TR) 和气管切除 (CTR) 后的大多数并发症发生在8天内. 静脉炎通常在手术后1-3个月出现,指导患者在呼吸道手术后进行监测.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 关键护理医学 关键护理医学
背景情况:
- 气管切除 (TR) 和气管切除 (CTR) 是对呼吸道狭窄,气管瘤和气管食道片等疾病的重要手术程序.
- 手术后的并发症,包括呼吸道,血瘤,静脉膜脱落,复原和死亡率,可以显著影响患者的结果.
- 描述这些并发症的时间模式对于优化临床监测策略至关重要.
研究的目的:
- 为了确定在气管切除 (TR) 和气管切除 (CTR) 后出现重大术后并发症的时间.
- 提供可为临床决策提供信息的数据,用于在开放式呼吸道手术后对患者进行监测和监视.
主要方法:
- 在2015年至2022年期间在一个机构接受TR或CTR的患者的回顾性审查.
- 收集和分析患者人口统计,并发症和术后并发症数据,包括事件的性质和时间.
主要成果:
- 在 69 个审查的病例中,有 27.5% 患有严重并发症,整体死亡率为 5.8%.
- 11.6%的患者需要重新输管,5.8%的患者需要修订气管切除术.
- 大多数并发症,如血液瘤和静脉切裂,在术后8天内表现出来. 手术后大约1-3个月观察到复原症,在3个月后没有出现新的病例.
结论:
- 在TR和CTR之后,大多数显著的并发症发生在术后的前8天内.
- 复原症呈现出明显的时间模式,通常在手术后1-3个月出现.
- 这些发现支持量身定制的监测协议,在早期术后期提高警,并持续监测长达3个月的复缩.
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