贫血的预测因素,输血和整形手术患者的结果
Ioana Țichil1,2,3, Teodora Țichil2,4, Ionuț Stefan Haplea1
1University of Medicine and Pharmacy "Iuliu Hatieganu" Cluj Napoca, 8 Victor Babes Street, 400012, Cluj-Napoca, Romania.
The Journal of international medical research
|March 20, 2024
概括
这项研究确定了整形手术患者贫血和输血的危险因素. 伴随性疾病和肢体手术增加了风险,而直接关闭伤口是保护性的,尽管输血增加了并发症风险.
科学领域:
- 整形外科 整形外科 整形外科
- 血液学 血液学 血液学
- 外科手术的结果
背景情况:
- 贫血和输血在整形外科手术中很常见.
- 识别风险因素对于优化患者护理和资源管理至关重要.
研究的目的:
- 为了确定贫血和血液制品在整形手术患者的使用的特定风险因素.
- 评估这些因素对患者治疗结果的影响.
主要方法:
- 从2018年到2020年,在一家整形外科的350名患者的回顾性分析.
- 包括患有创伤,瘤重建和软组织感染 (STIs) 的患者.
- 提取了人口,伤害,手术,实验室,输血和并发症数据.
主要成果:
- 50%的患者患有贫血,11%接受了输血.
- 贫血的危险因素包括并发症和肢体手术;输血的危险因素包括手术数量和死细胞软组织感染 (NSTI).
- 直接关闭伤口是保护性的;输血与败血症增加,伤口并发症和长时间住院相关.
结论:
- 输血虽然至关重要,但是一种有限的资源,具有潜在的负面影响.
- 研究应该专注于安全,限制性实践和开发血液制品的替代品.
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