提高拒绝输血的患者减肥手术安全性:一个专门的协议,包括全面的技术措施
Muhammed Said Dalkılıç1, Mehmet Gençtürk2, Abdullah Şişik2
1Department of General Surgery, Marmara University School of Medicine, Istanbul, Turkey. saiddalkilic@hotmail.com.
Updates in surgery
|June 12, 2024
概括
腹腔外科手术,包括袖子胃切除和胃绕道,可以安全地在拒绝输血的耶和华见证人中进行. 一个既定的协议有效地降低了出血风险,证明了成功的结果.
科学领域:
- 腹部外科 腹部外科
- 最少侵入性手术的方法
- 患者安全 患者安全
背景情况:
- 腹腔外科手术是对肥胖症的关键治疗方法,拉皮透视袖子胃切除术 (LSG) 和拉皮透视Roux-en-Y胃绕道 (LRYGB) 显示出成功.
- 由于耶和华见证人拒绝输血,这给腹部外科手术带来了独特的挑战,这是一个很少被提及的话题.
研究的目的:
- 在拒绝输血的患者中调查减肥手术的安全性和有效性.
- 评估一个专门的方案,旨在尽量减少在这些程序期间出血的风险.
主要方法:
- 研究人员审查了从11名接受减肥手术的耶和华见证患者 (2019-2023) 中前性收集的数据.
- 实施了一项专注于预防出血的协议,包括手术前治疗贫血的铁和使用松酸.
- 分析的数据包括手术细节,血液损失,并发症和血红蛋白水平.
主要成果:
- 在11名患者 (10 LSG,1 LRYGB) 中没有发生手术前或手术后的重大并发症.
- 所有患者血动力学保持稳定;只有一人经历了轻微的恶心吐.
- 一名患者有很少的出血排水,用特兰克萨姆酸解决.
结论:
- 减肥手术可以安全地在拒绝输血的患者中进行.
- 一个确定的协议对于管理出血风险和确保在这个患者群体中取得成功的结果至关重要.
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