在同时发生的隔膜和肝损伤后,胸胆的并发症
Nathan Y Kim1, Mordechai G Sadowsky2, Kiersten C Woodyard De Brito2
1College of Medicine, University of Cincinnati, Cincinnati, Ohio.
The Journal of surgical research
|December 19, 2024
概括
胸胆 (TBF) 是肝脏和腹膜创伤的罕见并发症. 迅速的手术干预对于预防TBF至关重要,TBF与严重的感染有关,需要先进的治疗.
科学领域:
- 创伤外科 手术 创伤外科
- 手术并发症 手术并发症
- 肝胆道手术 肝胆道手术
背景情况:
- 胸胆 (TBF) 是肝损伤后的一种罕见而严重的并发症.
- 现有的关于结核病发病率,病程和治疗的文献有限.
- 本研究旨在确定易受TBF感染的患者的风险因素和结果.
研究的目的:
- 调查肝脏和腹膜创伤患者的胸胆 (TBF) 的发生率和危险因素.
- 描述被诊断患有TBF的患者的临床过程和结果.
- 确定TBF的潜在预防策略和治疗方法.
主要方法:
- 在一级创伤中心8年的时间里,对疑似跨腹膜胆汁泄漏的患者进行了回顾性评估.
- 排除受伤后早期死亡;分析延迟胆汁泄漏的记录.
- 使用费舍尔精确和曼-惠特尼U测试,比较TBF和非TBF组之间的患者特征.
主要成果:
- 118名患者中有4名 (3.5%) 同时患有右膜和肝损伤,患有TBF.
- 结核病患者年轻,表现出较少肝脏或联合肝膜修复的趋势.
- 视频辅助胸腔镜手术用于保留的血胸部与增加的TBF风险有关 (P=0.005);TBF患者的感染并发症率更高 (P<0.001).
结论:
- 胸胆 (TBF) 发生率较低,但在肝脏和隔膜综合创伤的患者中显著.
- 为了减轻TBF的发展,迅速和最终的操作干预至关重要.
- 结核炎与传染性并发症有关,需要密集管理和监测.
相关概念视频
01:27Pneumothorax-II
120
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
120
01:17Chronic Bowel Disorders: Introduction
386
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
386
01:26Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160
01:24Flail Chest-I
139
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
139
01:26Pneumothorax-I
169
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
169
01:26Endoscopic Studies II: Thoracocentesis
199
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
199