在儿科内瘤手术中输血
Hülya Tosun Söner1, Ömer Oygen2, Bayram Güvenç3
1Department of Anesthesiology and Reanimation, Health Science University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey. hulyatosunsoner@hotmail.com.
BMC anesthesiology
|October 14, 2024
概括
年龄较小和手术时间较长增加了儿科脑瘤患者手术前输血的风险. 这凸显了在这些程序期间需要仔细监控的需要.
科学领域:
- 儿科瘤学 儿科瘤学
- 神经外科 神经外科
- 输血医学 输血医学
背景情况:
- 儿科中枢神经系统瘤是儿童癌症相关发病率和死亡率的主要原因.
- 在这种患者群体中,输血实践可能受到各种因素的影响.
- 了解这些因素对于优化患者护理至关重要.
研究的目的:
- 为了确定影响儿科患者进行内瘤手术的手术内输血的因素.
- 开发一种预测模型,用于识别需要输血的患者.
主要方法:
- 对儿童患者 (15岁以下) 进行切术以切除脑瘤的回顾性研究 (2018年1月 - 2023年12月).
- 收集手术前,手术内和手术后的数据.
- 多变量逻辑回归分析以确定手术内输血的预测因素.
主要成果:
- 在138名患者中,62名 (44.9%) 患者需要进行手术前输血.
- 年龄<4岁和操作时间>490分钟是输血需要的独立预测因素.
- 紧急手术和伴随疾病的患者对输血的需求更高.
结论:
- 年龄和手术持续时间是儿科内瘤手术中手术内输血的重要风险因素.
- 在年轻患者和长期手术期间提高警和监测可以帮助早期检测和预防并发症.
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