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胃肠道出血风险因素在A型大动脉剖析后大动脉门置换后的风险因素
Junhai Hao1,2,3, Jiaxin Li1,2, Hanxiao Zhang1,2
1Department of Intensive Care Unit of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Journal of thoracic disease
|May 13, 2024
概括
大动脉解剖修复后的胃肠道出血 (GIB) 是常见的,并且与更糟糕的结果有关. 高龄,大量输血和肠道输血不足是GIB的关键危险因素.
科学领域:
- 心血管外科心血管外科
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 胃肠道出血 (GIB) 是患有大动脉解剖 (AD) 的患者的严重并发症.
- 了解AD患者的GIB对于改善外科手术结果至关重要.
研究的目的:
- 为了评估与阿尔茨海默病患者的GIB相关的结果.
- 在接受全大动脉门置换 (TAAR) 的AD患者中确定GIB的独立风险因素.
主要方法:
- 对198名A型大动脉解剖 (TAAD) 患者进行了回顾性病例对照研究,这些患者接受了TAAR.
- 分析临床数据,实验室发现和成像,以确定GIB风险因素.
主要成果:
- 19.2%的患者患有术后GIB,死亡率显著上升,ICU停留时间和通风持续时间延长.
- GIB的独立风险因素包括年龄>54岁,手术内红细胞输血>600毫升,同时发生的乳和SMA输血.
结论:
- 在AD患者中,TAAR后的GIB与不良预后有关.
- 高龄,大量的手术内输血和胃肠道输液异常是GIB的重要危险因素.
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