在患有先天性心脏病的成年人中,延迟关闭与紧急重新开放
Ahmed A Abdelrehim1, Elizabeth H Stephens1, Alberto Pochettino1
1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
The Annals of thoracic surgery
|May 19, 2024
概括
在患有先天性心脏病 (ACHD) 的成年人中,在4天内延迟胸关闭 (DSC) 与更好的结果有关. 延长超过4天的DSC显著增加了ACHD患者的早期死亡率和并发症.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 心脏外科手术 心脏外科手术
背景情况:
- 对于患有先天性心脏病 (ACHD) 的成年人中延迟胸关闭 (DSC) 的结果,数据有限.
- 这项研究解决了关于DSC在ACHD患者的知识差距.
研究的目的:
- 评估先天性心脏病 (ACHD) 的成年人中延迟胸关闭 (DSC) 的结果.
- 确定与需要DSC的ACHD患者的死亡率和并发症相关的因素.
主要方法:
- 对1993年至2023年接受心脏手术的159名ACHD患者进行了回顾性审查,这些患者需要DSC或新出现的胸重新打开.
- 使用回归模型来确定与结果相关的因素.
主要成果:
- 随着DSC持续时间>4天,观察到早期死亡率逐步增加 (32%对6.8%).
- 早期死亡的风险因素包括年龄,DSC>4天,血液动力学指示和单心室.
- 下部喷射分数,血液动力学指示,单心室和糖尿病预测了胸部关闭的时间延长.
结论:
- 在ACHD患者中,短暂持续的DSC与低发病率和死亡率有关.
- 在ACHD患者中观察到较高的早期死亡率和并发症,胸部关闭延迟超过4天.
更多相关视频
15:11Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
Published on: January 5, 2015
63.5K
07:02Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy
Published on: September 9, 2020
6.3K
相关概念视频
01:21Tracheostomy Decannulation
148
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
148
01:26Flail Chest-II
165
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
165