在透性隔膜损伤后出现肺的危险因素
Lydia C Rewerts1, Lance E Stuke2, John P Hunt2
1School of Medicine, LSU Health Sciences Center, New Orleans, LA, USA.
The American surgeon
|April 20, 2024
概括
穿透的隔膜损伤可能会导致 empyema,这是一个严重的并发症. 可见的腹部污染和胸切除术被确定为创伤患者的关键风险因素,影响住院和结果.
科学领域:
- 创伤外科 手术 创伤外科
- 胸部外科手术 胸部外科手术
- 传染性疾病 传染性疾病
背景情况:
- 肺是胸部创伤的已知并发症.
- 穿透的隔膜损伤在创伤管理中提出了独特的挑战.
- 在腹膜创伤后出现 empyema 的危险因素需要进一步阐明.
研究的目的:
- 为了确定穿透性隔膜损伤的患者患 empyema 的危险因素.
- 分析特定伤害特征与empyema发展之间的关联.
- 了解Empyema对患者结果的影响.
主要方法:
- 连续成年创伤患者具有穿透性隔膜损伤的回顾性分析.
- 数据收集包括人口统计,伤害细节,干预和并发症.
- 进行了单变量分析,以比较有和没有empyema的患者.
主要成果:
- 10.4%的患者 (17/164人) 发生了.
- 肺与明显的腹部污染 (P=.04) 和胸切除术 (P=.03) 有意义地相关.
- 血栓炎与肺炎 (P=0.01),败血症 (P=.006) 和更长的住院/ICU停留率相关,但在医院死亡率较低 (P=.04).
结论:
- 可见的腹部污染和胸腔切除术是穿透膜损伤后 empyema 的重要危险因素.
- 在这个人群中,Empyema的发展与资源利用率和并发症的增加有关,但矛盾的是,死亡率较低.
- 需要进一步研究穿透性隔膜创伤中的empyema的预防策略和管理协议.
更多相关视频
11:32Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
Published on: February 23, 2014
15.1K
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
13.6K
相关概念视频
01:22Esophageal Perforation-I: Introduction
91
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
91
01:28Esophageal Perforation-II: Clinical Manifestations and Management
58
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
58
01:30Pneumonia I: Introduction
230
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
230
01:26Pneumothorax-I
202
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
202
01:27Pneumothorax-II
141
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
141
01:30Pneumonia III: Complications and Assessment
205
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
205