非血管穿皮腹部手术的阳性血管并发症
Easton Neitzel1, Jack Stearns2, Jessica Guido2
1University of Arizona College of Medicine-Phoenix, 475 N 5th St, HSEB C523, Phoenix, AZ, 85004, USA. eneitzel@arizona.edu.
Abdominal radiology (New York)
|June 7, 2024
概括
在非血管性腹部手术过程中,血管并发症可能发生,有时导致死亡. 对这些风险的认识,特别是对体形成的风险,有助于干预医生尽量减少对患者的伤害.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 腹部医学 腹部医学
背景情况:
- 非血管穿皮腹部手术是常见的干预措施.
- 尽管这些手术具有最小的侵入性,但仍存在血管并发症的风险.
- 阳性血管损伤可以显著影响患者的治疗结果.
研究的目的:
- 汇编并呈现所有报告的非血管腹部手术的血管并发症.
- 告知放射科医生关于潜在的血管损伤,相关的程序,如皮肤排水 (PAD) 和.
- 引导干预医生尽量减少风险和降低并发症率.
主要方法:
- 使用PubMed数据库进行了一项文献审查.
- 分析了2000年以后发表的文章,详细介绍了特定非血管腹部手术引起的血管并发症.
- 程序包括PAD,皮肤通 (PN),,皮肤通肝胆血管学 (PTC) /皮肤通胆道排水 (PBD),皮肤通胆道结石切除和皮肤通放射性胃口学 (PG) /胃口学 (PG-J).
主要成果:
- 214项研究符合分析的标准.
- 总共有28名患者的死亡归因于这些手术引起的血管并发症.
- 抛物线造成的死亡人数最多 (19),其次是PTC/PBD (4),胆道结石移除 (3) 和PG (2).
结论:
- 血管并发症,甚至是致命的,可以从非血管穿皮腹部手术中产生.
- 了解和呈现这些并发症对于改善患者护理至关重要.
- 干预医生可以通过实施降低血管风险的策略来提高患者的安全性.
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