同时创伤性胰腺和结肠损伤对结果的影响
Richard H Lewis1, Tomas Jacome1, Danielle Dooley2
1Our Lady of the Lake Regional Medical Center, LSU Health Science Center, Baton Rouge, LA, USA.
The American surgeon
|May 20, 2024
概括
创伤性结肠损伤与胰腺损伤相结合,显著增加腹内的风险. 早期识别和管理这些联合伤害对于改善创伤护理患者的结果至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 外科手术的结果
- 感染性并发症 感染性并发症
背景情况:
- 结肠和胰腺损伤独立地与创伤患者的传染性并发症有关.
- 了解联合伤害的影响对于改善患者护理至关重要.
研究的目的:
- 为了评估同时发生的胰腺损伤对患有创伤性结肠损伤的患者结果的影响.
- 在这个患者队列中确定腹内形成的预测因子.
主要方法:
- 追溯对受伤患者进行手术治疗的三年来结肠损伤的回顾.
- 收集的数据包括患者特征,损伤严重程度,胰腺损伤的存在/程度以及PRBC输血.
- 多变量逻辑回归分析了胰腺损伤对腹内形成的影响.
主要成果:
- 在243名患者中,有17名患者结合结肠和胰腺损伤.
- 组合伤害组显示更高的腹内 rate (88.2%对29.6%) 和PRBC输血.
- 胰腺损伤 (OR 14.8) 和PRBC输血 (OR 1.09) 独立地预测了瘤的形成.
结论:
- 同时发生的胰腺损伤是创伤性结肠损伤中腹内形成的重要独立预测因素.
- 在手术期间输入红细胞也可以独立预测的发展.
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