胸前大动脉手术后术后急性胰腺炎的危险因素
Ryoma Ueda1, Jiro Esaki2, Hideki Tsubota1
1Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Kyoto, Japan.
Asian cardiovascular & thoracic annals
|July 25, 2024
概括
手术后急性胰腺炎 (PAP) 在胸前动脉手术后发生在5.9%的患者中. 较长的十字时间显著增加了发展PAP的风险.
科学领域:
- 心血管外科心血管外科
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 调查术后急性胰腺炎 (PAP) 的发生率和危险因素.
- 专注于经过胸前大动脉手术并导致循环停止的患者.
研究的目的:
- 确定胸前大动脉手术后与循环停止的PAP发生率.
- 确定与PAP发展相关的独立风险因素.
主要方法:
- 追溯对152名患者进行胸前大动脉手术后循环停止的病人的回顾.
- 根据腹部疼痛,胰腺酶升高和CT扫描结果来定义PAP.
- 使用单变量和多变量分析来识别风险因素.
主要成果:
- 9名患者 (5.9%) 患有PAP,没有死亡率.
- 所有PAP病例都显示胰腺酶升高和CT证据,通过保守治疗改善.
- 多变量分析确定了十字时间作为一个显著的风险因素 (aOR1.04,p=0.042).
结论:
- 胸前大动脉手术后与循环停止发生的PAP的发病率为5.9%.
- 交叉合时间是这种患者群体中发展PAP的独立风险因素.
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