输出的时间和输出失败的风险在动脉瘤下arachnoid出血患者
Jun Yang1, Junlin Lu2, Runting Li3
1Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Chinese neurosurgical journal
|November 20, 2024
概括
输出失败在动脉瘤下arachnoid 出血患者中是常见的. 年龄较大,入院时间较长,WFNS等级较高和早期输出管是关键的危险因素.
科学领域:
- 神经外科 神经外科
- 密集护理医学 密集护理医学
- 神经学 神经学
背景情况:
- 在重症监护室 (ICU) 患有动脉瘤下关节出血 (aSAH) 的患者,输出管的时间至关重要.
- 在这种特定人群中,传统的参数可能不足以预测输出失败 (EF).
- 在aSAH患者中确定与EF相关的因素对于优化护理至关重要.
研究的目的:
- 为了确定与化失败 (EF) 相关的临床因素,在患有动脉瘤下关节出血 (aSAH) 的患者中.
- 评估疾病严重程度,病史和输出管的时间在预测EF中的作用.
主要方法:
- 一项单一中心的观察性研究包括在2019年至2021年期间接受微手术的aSAH患者.
- 患者根据脱失败 (EF) 的发生情况将患者分成几组.
- 多变量后勤回归分析了不同组之间疾病严重程度,病史和输出管时间的差异.
主要成果:
- 在335名aSAH患者中,14%的患者出现了输出失败 (EF).
- 晚期脑缺血和急性水头在EF患者中更为频繁.
- EF与更高的残疾和死亡率有关. 重要预测因素包括年龄较大,入院时间较短,WFNS等级较高 (>3) 和24小时内输出输出管.
结论:
- 年龄较大的aSAH患者的入院时间<2天和WFNS等级>3面临EF的高风险.
- 超早期的输出 (<24小时) 会增加这种风险.
- 建议考虑在患有多种风险因素的患者中进行长时间的输管治疗,以防止EF.
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