心脏外科手术后术后视力损失的发生率和危险因素:系统性审查
Bhavna Gupta1, Deepak Singla1, Anish Gupta2
1Department of Anaesthesiology, AIIMS, Rishikesh, Uttarakhand, India.
Annals of cardiac anaesthesia
|April 12, 2024
概括
心脏手术后的术后视力损失 (POVL) 是罕见的 (0.015%),但严重. 关键的危险因素包括长期手术,低血压和贫血,需要仔细监测患者.
科学领域:
- 眼科医生 眼科 眼科
- 心脏病学 心脏病学
- 手术并发症 手术并发症
背景情况:
- 手术后视力丧失 (POVL) 是心脏手术后的一种罕见但显著的并发症.
- 了解其发生率和风险因素对于患者安全和改善结果至关重要.
研究的目的:
- 系统地审查心脏手术后POVL的发生率.
- 识别和分析相关的患者,程序,麻醉和术后风险因素.
主要方法:
- 在2022年9月之前,对主要医疗数据库进行全面的文献搜索.
- 包括报告POVL发病率和风险因素的符合条件的研究.
- 聚合发病率和确定的风险因素的定性综合.
主要成果:
- 整体POVL发生率为0.015% (每10万例治疗中15例).
- 确定的危险因素包括晚年,糖尿病,高血压,长期手术,低血压,贫血和低血红素.
- 某些特定类型,如缺血光学神经病变 (ION),AION和PION,与不同的促成因素有关.
结论:
- 虽然POVL很少见,但它的视觉影响是巨大的.
- 可修改的风险因素,如手术持续时间,手术内低血压和贫血,需要仔细管理.
- 在心脏病后手术护理中检测POVL的警是必不可少的.
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