[对117名腹腔大动脉动脉瘤破裂患者的临床数据分析]
1Department of Surgical Intensive Care Unit, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Zhonghua nei ke za zhi
|May 8, 2024
概括
破裂腹腔大动脉动脉瘤 (rAAA) 的手术修复有很高的术后死亡率,特别是在患有冲击或逆上皮质血瘤的患者中. 加强术后管理对于改善这些高风险rAAA患者的治疗结果至关重要.
科学领域:
- 血管外科 血管外科
- 手术重症监护手术重症监护
- 大动脉动脉瘤研究研究
背景情况:
- 破裂的腹腔大动脉动脉瘤 (rAAA) 代表了一个关键的手术紧急情况.
- 有效的术后管理对于改善患者存活率至关重要.
研究的目的:
- 分析为rAAA进行手术修复的患者的术后临床特征和预后.
- 确定影响rAAA患者死亡率的因素.
主要方法:
- 在2005-2020年间对117名接受手术修复 (EVAR或OSR) 的rAAA患者进行了回顾性分析.
- 收集的数据包括临床特征,手术方法,手术内细节,术后并发症和死亡率.
主要成果:
- 整体住院死亡率为10.3%.
- 常见的并发症包括胃肠道功能障碍,休克,ARDS,胰腺损伤和凝血障碍.
- 在手术前的休克,后血瘤和手术后的腹腔综合征,胃肠道出血,AKI和DIC显著增加了死亡率.
结论:
- 对于rAAA的术后死亡率仍然很高,即使有内血管动脉瘤修复 (EVAR).
- 患有手术前休克,回血瘤和特定的术后并发症的患者面临高死亡风险.
- 加强术后监测和管理对于降低rAAA死亡率至关重要.
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