小型血栓在入院时没有被排水:初始体积预测需要干预
HeeYun Na1, Esther J Kim2, Alison Muller2
1Drexel University College of Medicine, Wyomissing, PA, USA.
The American surgeon
|May 23, 2024
概括
对于形创伤后的小血胸 (HTX),初步观察可能是适当的. 然而,更多的肋骨骨折和更大的初始HTX体积预测了需要后期干预的情况.
科学领域:
- 创伤外科 手术 创伤外科
- 胸部外科手术 胸部外科手术
- 紧急医疗 紧急医疗
背景情况:
- 在重创伤后的小血胸 (HTX) 往往是非手术治疗的.
- 最初观察到的小HTX中延迟干预的预测因素需要进一步调查.
研究的目的:
- 为了确定预测需要干预的风险因素,在小血胸 (HTX) 患者中,在重创伤后最初进行非手术治疗.
主要方法:
- 对于患有不的创伤性HTX患者 (2016-2022) 的回顾性评估.
- 纳入标准:小HTX (CT上<400毫升) 最初观察时间>48小时.
- 主要结局:在6个月内进行与HTX相关的干预;进行统计分析.
主要成果:
- 188名患者符合标准;最初观察了127名患者,其中24%需要干预.
- 干预组的初始HTX体积更大 (129毫升 vs 68毫升) 和更多的肋骨骨折 (7vs 4).
- 肋骨骨折数量和HTX体积独立预测了延迟干预的必要性.
结论:
- 最初的HTX体积和肋骨骨折的数量是延迟干预的重要预测因子,小的HTX在非手术管理.
- 这些因素可以指导临床决策的观察与立即干预.
相关概念视频
Pneumothorax-I
195
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
195
Veins as Blood Reservoirs
4.3K
Veins, while chiefly responsible for circulating blood back to the heart, also function as storage vessels for blood. They house approximately 64 percent of the body's total blood volume, a feat made possible by their high capacitance—the inherent ability to expand and accommodate large volumes of blood, even under low pressure. The large diameter and thin walls of veins augment their distensibility, significantly more so than arteries, due to their classification as capacitance...
4.3K
Endoscopic Studies II: Thoracocentesis
250
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
250
Esophageal Varices-II: Clinical Features and Management
60
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
60


