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确定在腹腔大动脉动脉瘤开放修复后进行手术后阴道风险因素
Mitri K Khoury1, Aderike C Anjorin2, Falen Demsas2
1Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA; Division of Vascular and Endovascular Surgery, HonorHealth Heart Care, Scottsdale, AZ.
Journal of vascular surgery
|August 3, 2024
概括
手术后阴道 (POI) 是腹腔大动脉动脉瘤 (AAA) 手术后的一个常见并发症. 较低的BMI,透性方法和较长的紧时间增加POI风险,延长住院时间.
科学领域:
- 血管外科 血管外科
- 手术并发症 手术并发症
- 腹腔大动脉动脉瘤修复 腹腔大动脉动脉瘤修复
背景情况:
- 手术后阴茎 (POI) 是一次主要的腹部手术后的常见并发症.
- 现有的POI数据主要来自胃肠道和泌尿学文献,通常被推断为血管外科手术.
- 血管病患者具有独特的特征,因此对数据的直接推断可能不合适.
研究的目的:
- 为了确定POI在接受腹腔大动脉瘤 (AAA) 手术的患者中的患病率.
- 在这个特定的患者群体中确定与POI相关的风险因素.
主要方法:
- 对接受开放AAA修复的患者的回顾性研究 (2016年1月 - 2023年7月).
- 排除标准包括非选择性维修和72小时内死亡率.
- POI定义为在术后第3天后出现的两个或两个以上的症状 (恶心,吐,无法忍受摄入量,缺少浮,膨胀或放射性证据).
主要成果:
- 整体POI率为8.9% (123名患者中11名).
- 对POI的危险因素包括较低的BMI,经接近,中线腹腔切除术,更长的时间,更大的手术内液体输液,以及返回OR.
- POI与较高的血管压缩剂使用,增加口服吗啡相当剂,更长的住院时间和长时间的鼻胃管使用有关.
结论:
- 手术后的骨是选择性开放AAA手术的一个重大并发症,导致长时间住院.
- 确定的主要风险因素包括较低的BMI,特定的外科手术方法 (透腹,中线腹腔切除术),延长的手术时间和增加的外科手术期间的干预.
- 这些发现表明,关键的术后目标是减少POI发病率.
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