关于患有肝硬化的患者的术后管理和手术风险的立场论文
J A Velarde-Ruiz Velasco1, J Crespo2, A Montaño-Loza3
1Servicio de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, Mexico.
Revista de gastroenterologia de Mexico (English)
|July 13, 2024
概括
对肝硬化患者的手术治疗尚不清楚. 本文为优化护理提供专家建议,重点关注手术前,手术内和手术后的策略,以改善接受手术的肝病患者的治疗结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 手术管理的手术管理.
- 临床指南 临床指南
背景情况:
- 需要手术的肝硬化患者的管理是一个尚未探索的领域.
- 墨西哥对于这些患者的临床决策缺乏正式的专家建议.
研究的目的:
- 审查关于手术干预的肝硬化患者风险,预后和护理的证据.
- 为及时,高质量,高效和低风险的护理制定专家小组建议.
主要方法:
- 对现有证据进行系统审查.
- 专家小组建议的制定.
- 专注于手术前,手术内和术后的护理.
主要成果:
- 制定了27项建议,其中包括:
- 建议涵盖了手术前的考虑,手术内设置和手术后的随访.
结论:
- 多学科团队管理至关重要,包括麻醉师,肝病学家,胃肠病学家和营养学家.
- 科专家对于评估失补偿患者的功能非常重要,因为它会影响预后.
相关概念视频
01:28Esophageal Varices-II: Clinical Features and Management
57
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...
57
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
71
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
71
01:24Esophageal Varices-I: Introduction
104
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
104
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
282
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
282
01:29Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84
01:21Inflammatory Bowel Disease V: Surgical Management
139
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
139