日本二次自发性肺胸外科手术的术前风险因素:全国数据库研究
Ryuichi Waseda1,2, Hiroyuki Yamamoto3, Yasushi Shintani4,5
1Japanese Association for Chest Surgery, Kyoto, Japan. wryuichi0119@fukuoka-u.ac.jp.
Surgery today
|August 27, 2024
概括
确定二次自发性肺胸外科手术的术前风险因素至关重要. 诸如年龄,BMI和并发症等因素显著影响手术前死亡率,30天死亡率和术后呼吸系统问题.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术风险评估手术风险评估
背景情况:
- 二次自发性肺胸炎 (SSP) 通常需要手术干预.
- 确定手术前的风险因素对于优化手术结果和患者选择至关重要.
研究的目的:
- 在接受SSP手术的患者中,确定与手术死亡率,30天死亡率和手术后呼吸道疾病相关的术前风险因素.
主要方法:
- 分析来自日本国家临床数据库 (2014-2019) 的数据.
- 包括15岁或以上接受了SSP手术的患者,并提供完整的数据.
- 对手术前死亡率,30天死亡率和术后呼吸道疾病的术前风险因素的统计分析.
主要成果:
- 在18309名患者中,手术死亡率,30天死亡率和手术后呼吸道疾病率分别为3.6%,1.9%和12.3%.
- 术后死亡率的重要风险因素包括晚年,男性性别,异常的BMI,表现不佳的状态,新出现的手术,间歇性肺炎,糖尿病,瘤和其他肺部疾病.
- 对于30天死亡率 (例如,自身免疫性疾病) 和术后呼吸道疾病 (例如,淋巴细胞菌瘤症) 确定了不同的危险因素.
结论:
- 多种手术前风险因素显著影响SSP手术后的结果.
- 这些已识别的因素可以帮助选择合适的SSP外科候选人.
- 进一步的研究可以完善SSP患者的风险分层和管理策略.
相关概念视频
Pneumothorax-II
127
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
127
Pneumothorax-I
180
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
180
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
Endoscopic Studies II: Thoracocentesis
223
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
223
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
179
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
179


