医生可以在急性尾炎的儿童中推迟尾切除术一晚吗?
Amrollah Salimi1, Seyed Mojtaba Alavi2, Mojdeh Bahadorzadeh1
1Department of Surgery, School of Medicine, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran.
Middle East journal of digestive diseases
|July 25, 2024
概括
在患有尾炎的儿童中,延迟尾切除术长达18小时是安全的. 这项研究没有发现延迟手术导致尾破裂或手术部位感染等并发症的风险增加.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
背景情况:
- 尾炎是儿童紧急手术的主要原因.
- 立即尾切除一直是标准的,但它的必要性是有争议的.
- 在儿科尾炎中存在诊断挑战.
研究的目的:
- 评估推迟尾切除术在儿科急性尾炎中的安全性.
- 为了确定延迟长达18小时是否会增加并发症风险.
主要方法:
- 对534例儿科急性尾炎病例进行了回顾性分析.
- 立即 (8小时内) 与延迟 (8-18小时) 尾切除组的比较.
- 评估人口统计数据,症状,实验室结果和并发症.
主要成果:
- 手术部位感染率没有显著差异 (2.8%对4.2%).
- 两组之间的穿孔风险没有显著差异 (21.9%与19.8%).
结论:
- 将尾切除术推迟至18小时对于儿科患者是安全的.
- 随着手术延迟,没有观察到穿孔或手术部位感染的风险增加.
更多相关视频
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
73
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
73
Appendicitis-I: Introduction
102
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
102
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
66
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...
66


