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在委内瑞拉东部的一家转诊医院的紧急手术中术后并发症
Victor Castañeda-Marquez1, Yeisson Rivero-Moreno1, Enrique Avila-Liendo1
1Department of Surgery, Universidad de Oriente, Nucleo Anzoategui, Barcelona, VEN.
Cureus
|June 7, 2024
概括
手术后并发症 (POC) 在15.7%的紧急手术中发生,手术部位感染是最常见的. 风险因素包括老年,高血压和空洞粘膜穿孔引起的腹膜炎.
科学领域:
- 一般外科 整体外科
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 手术后并发症 (POC) 是手术护理中的关键问题,影响患者的安全和质量.
- 与可选手术相比,紧急手术显示POC的发病率更高.
- 分析POC对于评估患者的生活质量和医院服务质量至关重要.
研究的目的:
- 描述POC在紧急一般外科病人的发病率和特征.
- 在这个患者群体中识别与POC相关的风险因素.
- 提供委内瑞拉东部一家转诊医院的数据.
主要方法:
- 采用了横截面的回顾性研究设计.
- 从接受紧急手术的178名患者的医疗记录中收集数据.
- 该研究期为2022年11月至2023年5月,在委内瑞拉的一家转诊医院进行.
主要成果:
- 在15.7%的患者中观察到术后并发症 (POC),手术部位感染是最常见的 (39.62%的POC).
- 较高的POC率与65岁以上的患者有关,高血压,低蛋白血症,空洞粘膜穿孔引起的腹膜炎,创伤和中线切口.
- 死亡率为2.8%,基于POC发展没有显著差异.
结论:
- 手术后并发症 (POC) 是紧急手术中致病率和死亡率的重要因素.
- 在这项研究中,POC的频率与之前的报告一致,但观察到的死亡率较低.
- 高血压,低蛋白血症,中线外科手术方法,空洞粘膜穿孔引起的腹膜炎和创伤是POC在紧急一般手术中的关键风险因素.
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