在接受性别确认乳房切除术的患者中,急性手术内白心的危险因素
Sarah M Thornton1, Ellen C Shaffrey1, Caroline C Bay1
1Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health. Madison, WI, USA.
Plastic surgery (Oakville, Ont.)
|November 15, 2024
概括
急性手术内心肌梗塞,手术期间心率减慢,发生在42.7%的性别确认乳房切除患者中. 素的使用和乳头移植增加了这种风险.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 肯定性别的护理.
背景情况:
- 性别确认乳房切除术是跨性别和非二进制个体的热门手术.
- 在这个患者群体中观察到心律不整,包括胸肌梗塞.
- 在性别确认乳房切除术期间的急性手术内心肌梗塞没有得到充分的证据.
研究的目的:
- 为了确定经过性别确认乳房切除术的患者急性手术内相对心病的发生率.
- 在这个队列中确定与手术内心肌梗塞发展相关的潜在风险因素.
主要方法:
- 对337名接受性别确认乳房切除术的患者进行了回顾性审查.
- 收集的数据包括人口统计,并发症和外科手术期间的事件.
- 后勤回归分析被用于识别胸肌梗塞 (心率<60 bpm) 的预测因素.
主要成果:
- 144名患者 (42.7%) 经历了急性手术后相对心.
- 97名患者 (67.4%) 需要麻醉干预,5名 (3.5%) 需要进行手术中断.
- 门诊使用西 (OR: 2.63) 和乳头移植 (OR: 2.77) 是显著的风险因素.
结论:
- 在性别确认乳腺切除患者中,急性手术内相对心可能是一个明显的并发症.
- 患者特定的变量可能会导致这种现象.
- 需要进一步的比较研究来阐明风险因素.
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