相关实验视频

Updated: May 5, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

昼间与非工作时间外科手术治疗慢性腹腔内血瘤

Conor S Gillespie¹, Christopher Quelch¹, Kisanet Medhanie²

¹Department of Neurosurgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

|October 16, 2024

概括

慢性腹腔内血瘤 (CSDH) 的非工作时间 (OOH) 手术是安全有效的. 这项研究发现,在接受OOH手术的CSDH患者中,复发,并发症或死亡率没有显著差异.

科学领域:

神经外科神经外科
老年医学老年医学
手术结果研究研究.

背景情况:

慢性亚皮血瘤 (CSH) 是一种常见的神经外科疾病,特别是在老年人中.
由于患者的并发症和资源的可用性,CSH的手术通常会被推迟到非工作时间 (OOH) 期间.
及时的手术干预至关重要,但OOH调度可能会影响患者的治疗结果.

研究的目的:

评估OOH初级手术对CSH的安全性和有效性.
为了比较在几小时内和OOH手术组之间的复发率,并发症,停留时间和死亡率.
为了确定OOH安排CSH手术是否会影响患者的护理.

主要方法:

在2021年9月至2023年9月期间接受初级手术的263名CSH患者的回顾性服务评估.
定义OOH为从上午8点到下午8点以外开始的操作.
使用千平方和学生的t测试,比较了包括复发,并发症,血栓栓塞事件,停留时间和死亡率在内的结果.

主要成果:

近一半 (49.8%) 的CSH手术是OOH进行的,基线特征没有显著差异.
在OOH和小时内小组之间的复发率 (14.5%与17.7%),并发症率 (13.7%与16.2%) 或血栓栓塞事件 (3.8%与3.1%) 中没有发现显著差异.
住院时间 (平均15.9 vs. 15.2天) 和住院死亡率 (2.3% vs. 3.1%) 在两组之间也相似.

结论:

慢性腹腔内血瘤的外科手术是安全和可行的选择.
在标准时间之外安排CSH手术不会对关键患者的治疗结果产生负面影响.
应考虑对适当选择的CSH患者进行OOH手术,以优化资源利用和患者护理.

关键词:

在CSDH的CSDH.慢性腹膜下血腫慢性腹膜下血腫复杂性复杂性复杂性在工作时间之外的工作.复发情况复发情况手术手术手术术术

更多相关视频

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Published on: June 18, 2021

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Published on: September 13, 2024

相关概念视频

Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response

Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response

Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...

Venous Thrombosis III: Interprofessional Care

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...

Hemodialysis II: Procedure and Complications

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...