探索皮肤性利切除术后深静脉血栓形成的危险因素
Jia Wei He1, Zhan Peng Zhu2, Xiao Yan Cai3
1Department of Urology, Dongguan Songshan Lake Central Hospital, 523770 Dongguan, Guangdong, China.
Annali italiani di chirurgia
|April 29, 2024
概括
深静脉血栓塞 (DVT) 是皮肤穿神经切除术 (PCNL) 后的一种风险. 升高的D-二次体水平,更长的床上休息时间和更高的卡普里尼风险分数独立地预测PCNL后的DVT.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 深静脉血栓塞 (DVT) 是皮肤瘤切除术 (PCNL) 后的一个显著并发症.
- 对术后DVT风险因素的有限理解需要进一步调查.
- 肺栓塞是DVT的一个严重的潜在后果.
研究的目的:
- 为了调查和确定深静脉血栓塞 (DVT) 的风险因素,通过皮肤进行瘤切除术 (PCNL).
主要方法:
- 在2020年3月至2023年3月期间接受PCNL的100名患者的回顾性研究.
- 评估患者的人口统计,临床数据,DVT信息,手术前实验室和手术细节.
- 统计分析以确定DVT的相关性和独立风险因素.
主要成果:
- 32%的患者在PCNL后出现下肢DVT.
- 发现了DVT风险和高脂血症,手术时间,术后休息时间,D-二次数水平和卡普里尼风险评估模型 (RAM) 评分之间的显著相关性.
- 术后第一天的D-二聚物水平,长时间的床上休息和卡普里尼RAM得分被确定为独立的DVT风险因素.
结论:
- 术后第一天的D-二聚物水平是PCNL后DVT的独立风险因素.
- 手术后的床上休息时间是PCNL后DVT风险的独立预测指标.
- 卡普里尼风险评估模型 (RAM) 评分是PCNL后DVT的重要独立风险因素.
相关概念视频
01:28Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:30Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...