在太空飞行期间急性胆囊炎的穿皮胆囊切除术
Aerospace medicine and human performance
|October 21, 2024
概括
穿皮胆囊静脉管 (PCT) 放置可为急性胆囊炎提供初步缓解,但长期结果不佳. 对于太空任务,特别是像火星这样的长期任务,替代策略至关重要.
科学领域:
- 太空医学 太空医学
- 手术紧急情况 手术紧急情况
- 胃肠病学 胃肠病学
背景情况:
- 急性结石胆囊炎是一种常见的手术紧急情况.
- 胆囊切除术是标准的治疗方法.
- 穿皮胆囊静脉管 (PCT) 放置是高风险患者或太空等偏远环境的替代方案.
研究的目的:
- 审查关于PCT对急性结石胆囊炎的陆地疗效的文献.
- 评估PCT在长期太空飞行,月球或火星任务期间治疗急性胆囊炎的理论效用.
主要方法:
- 自2018年以来发表的16篇同行评审文章的系统审查.
- 专注于陆地疗效和PCT安置对急性结石胆囊炎的结果.
主要成果:
- PCT初始临床成功率的平均值为89.9%.
- 经常性胆囊炎 (15.8%),需要间歇胆囊切除术 (35.6%) 和需要重复干预的并发症 (18.6%) 的高率被观察到.
- 平均30天死亡率为9.6%.
结论:
- PCT提供了很高的初始成功,但长期结果不佳,包括复发和并发症.
- 虽然PCT对于短期太空任务 (如cislunar) 是可行的,但对于长期任务 (如火星) 可能是不够的.
- 预防性胆囊切除术,太空外科手术能力或胆结石飞行前查是长期太空飞行的建议.
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