患有恶性小肠阻塞的入院患者的结果:一个子组多中心观察队列分析
N B Hupfeld1, J Burcharth2, T K Jensen2
1Department of Surgery, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark. nanna.baekvang.hupfeld@regionh.dk.
Langenbeck's archives of surgery
|August 6, 2024
概括
恶性小肠阻塞 (SBO) 的预后不好. 早期高级决策者参与对于这些复杂的外科病例的最佳管理和现实的结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 小肠阻塞 (SBO) 是紧急手术入院的常见原因.
- 恶性病是SBO的常见原因,由初级瘤或转移引起.
- 目前对恶性SBO的治疗和结果没有得到很好的描述.
研究的目的:
- 描述恶性SBO的治疗方法.
- 确定恶性SBO管理中需要改进的领域.
- 为了比较恶性与非恶性SBO的生存率.
主要方法:
- 多中心观测研究的子组分析.
- 包括316名SBO患者,其中33人患有恶性SBO.
- 主要结局:恶性SBO患者的整体存活率.
主要成果:
- 在33名恶性SBO患者中,60.6%接受了息治疗,但只有7人看到了息团队.
- 23名患者接受了手术,通常是循环结节切除或胃肠道旁路.
- 平均存活时间为114天;根据息治疗的意图,没有生存差异.
结论:
- 恶性SBO具有显著的短期风险和不良预后.
- 高级决策者的早期参与对于最佳管理至关重要.
- 设置现实的期望对于患者的结果至关重要.
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