患者真空辅助关闭的结果胸腔气血:一个10年的经验
Zsolt Sziklavari1, Sameer Hammoudeh1, Ana-Maria Petrone1
1Department of Thoracic Surgery, REGIOMED Klinikum, Coburg, Germany.
The Annals of thoracic surgery
|August 23, 2024
概括
胸腔内真空辅助关闭 (VAC) 提供了一个更安全的替代方案,开放窗口胸腔切除术 (OWT) 对于 empyema 患者. 这种方法表明,削弱的个体减少了住院时间,改善了治疗成功率.
科学领域:
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
背景情况:
- 视频辅助胸部外科手术是胸腔瘤的标准.
- 开放窗口胸腔切除术 (OWT) 是复杂病例或脆弱患者的最后手段.
- 关于胸内真空辅助关闭 (VAC) 疗效的临床数据有限.
研究的目的:
- 评估内VAC的安全性和有效性,在衰弱的瘤患者.
- 为了将胸内VAC结果与历史OWT数据进行比较.
主要方法:
- 一组127名表现不佳的患者在住院治疗II/III阶段胸腔 empyema thoracis时接受了胸内VAC.
- 数据是在2010年1月至2020年12月期间收集的.
主要成果:
- 中位数VAC持续时间为15天;中位数住院时间为18天.
- 住院死亡率为11.8%. 在幸存者中,77.7%的患者是闭胸出院的.
- 总体成功率为64.6%,其中5名患者复发了 empyema.
结论:
- 胸内VAC是一种潜在的比OWT更安全的选择,用于衰弱的瘤患者,显示较低的发病率和死亡率.
- 这种方法导致了更短的住院时间和更高的成功率.
- 研究结果表明,胸内VAC可以改善胸腔内的治疗结果.
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