在肝脏手术后患有术后心律失常的患者的短期和长期结果
Felix Rühlmann1, Deborah Engelhardt1, Alma Franziska Mackert1
1Department of General, Visceral and Paediatric Surgery, University Medical Centre Göttingen, 37075 Göttingen, Germany.
Biomedicines
|February 24, 2024
概括
在肝脏手术后,新出现的术后心律失常 (PA) 在5.4%的患者中发生. 这种情况与并发症增加和长期存活率降低有关,这突显了它对肝脏手术结果的重要性.
科学领域:
- 肝胆道手术 肝胆道手术
- 心脏病学 心脏病学
- 外科手术的结果
背景情况:
- 手术后心律失常 (PA) 是内脏手术中患病率和死亡率的已知危险因素.
- 肝脏手术后PA发生率和影响的数据有限.
- 这项研究调查了肝脏手术患者的PA.
研究的目的:
- 为了确定肝脏手术后新出现的术后心律失常 (PA) 的发生率.
- 分析与PA发展相关的因素.
- 评估PA对术后发病率和长期存活率的影响.
主要方法:
- 460名没有先前心律失常史的肝脏手术患者的回顾性分析 (2012年1月 - 2020年4月).
- 从麻醉诱导到ICU/IMC出院的持续临床监测.
- 随访包括住院并发症和长期生存分析.
主要成果:
- 手术后心律失常 (PA) 的发生率为5.4% (25/460名患者).
- 胰腺癌显著与手术后并发症,肝纤维化/肝硬化,胆囊/胆漏/胆瘤以及器官衰竭有关.
- 患有PA的患者的整体存活率显著降低 (p < 0.001).
结论:
- 在肝脏手术后,新出现的术后心律失常 (PA) 发生在5.4%的病例中.
- 胰腺炎与术后发病率的增加有显著联系.
- 在肝脏手术患者中,PA 是较差整体生存率的独立预测因子.
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