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皮肤性瘤切除术中的术后并发症:预测性风险因素和血液动力学变化
Milind Kothiyal1, Nidhi Kumar2, Gurjeet Khurana2
1Department of Critical Care, Graphic Era Medical College, Dehradun, IND.
Cureus
|October 17, 2024
概括
这项关于皮肤穿神经切除术 (PCNL) 的研究发现,虽然生命体征变化是正常的,但灌液体体积预测了低温. 复杂的手术和患者状况,而不是Hb损失,预测输血需求.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 外科手术的结果
背景情况:
- 穿皮骨切除术 (PCNL) 是治疗大型结石的主要治疗方法.
- 外科手术期间的血液动力学变化和影响PCNL的因素未得到充分研究.
- 在PCNL期间生命体征和电解质的波动可能导致并发症.
研究的目的:
- 分析PCNL期间的生命体征变化.
- 为了确定影响患者状况,低温和输血需求的因素.
- 描述PCNL外科手术前期的血液动力学和生化变化.
主要方法:
- 对134名接受PCNL治疗的患者进行了监测.
- 在手术前,手术期间和手术后24小时评估了静脉血压,静脉血压,体温,血红蛋白,血红素,和.
- 后勤回归分析了诸如BMI,手术持续时间,灌量,通道,血液损失,低温和输血需求等因素.
主要成果:
- 在PCNL期间,平均动脉压下降.
- 患者体温下降,在手术结束时略有升高.
- 手术后血红蛋白,血红素和水平下降.
- 灌液体体积预测轻度低温.
- 较长的手术,更多的通道和较差的患者状况与增加的输血需求相关,但不是Hb损失.
结论:
- 生命体征的变化 (呼吸道,呼吸,循环) 是PCNL前后的典型情况.
- 低温与灌液体体积有关.
- 输血主要需要在复杂的病例和危急的患者状态.
- 识别可修改的因素可以改善PCNL的临床结果.
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