肺部手术后长期空气泄漏的门诊胸腔管管理的并发症
Ryan J Randle1, Prasha Bhandari1, Hao He1
1Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.
Annals of surgical oncology
|March 27, 2024
概括
肺部手术后使用单向装置 (OWD) 出院的患者面临重大并发症,胸腔管 (CT) 持续时间较长会增加风险. 为了安全,建议在CT切除前进行合试验.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术并发症 手术并发症
背景情况:
- 肺部手术后经常出现空气泄漏.
- 长时间的空气泄漏 (PALs) 可能需要使用单向装置 (OWDs) 进行排放.
研究的目的:
- 调查OWD出院患者的病程和并发症.
- 为了确定这些患者并发症的危险因素.
- 在切除胸管 (CT) 之前评估试验的实用性.
主要方法:
- 在肺部手术后 (2008-2022) 获得OWD出院的患者的回顾性评估.
- 对并发症和CT持续时间的分析.
- 使用威尔科克森等级和值测试对CT持续时间进行比较.
主要成果:
- 3.3%的手术导致使用OWD;这些患者中有19%出现并发症.
- 较长的CT持续时间与并发症有关 (13天vs7天).
- 束试验的失败率为10-17%左右.
结论:
- 单向装置的使用与严重的并发症率有关.
- 胸管的持续时间是并发症的重要风险因素.
- 紧试验,尽管偶尔出现故障,被认为是CT切除前最安全的方法.
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