在急性腹膜炎中进行十二指甲孔穿孔后的病因和结果:系统性审查
Rajeev Shahi1, Nurul Haque Siddiqui2, Imran Ahmed Khan3
1Surgery, Autonomous State Medical College, Kushinagar, IND.
Cureus
|January 1, 2025
概括
十二指肠穿孔是一种严重的疾病,导致急性腹痛,需要及时诊断和干预. 结果在很大程度上取决于治疗的原因和速度,而延迟护理会增加死亡风险.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 紧急医疗 紧急医疗
背景情况:
- 十二指甲孔穿孔带有急性腹痛,并可能导致严重的并发症,如全身感染和器官衰竭.
- 原因包括胃病 (PUD),创伤,恶性瘤和感染,需要快速诊断和干预以改善患者的治疗结果.
研究的目的:
- 系统地审查关于十二指甲孔穿孔引起的急性周周炎的病因和结果的文献.
- 提供一个全面的概述,以指导有效的管理策略,为这个关键的条件.
主要方法:
- 在PubMed,CINAHL和谷歌学者中进行了系统的文献搜索,直到2024年8月.
- 包括观察性研究,病例报告和急性腹膜炎中十二指肠穿孔的病例系列;不包括评论文章和非英语研究.
- 数据提取涉及两个独立的审查员,第三个审查员解决了差异.
主要成果:
- 分析了18项涉及536名参与者的研究,确定了胃潰瘍疾病 (PUD),创伤,异物和阳性原因作为主要病因.
- 治疗从保守的管理到手术是不同的,结果受到病因和治疗时间的影响.
- 显著的术后并发症包括感染和静脉漏;死亡率与延迟干预有关.
结论:
- 十二指甲孔穿孔仍然是一个严重的发病率和死亡率的疾病,即使有了外科手术的进步.
- 及时诊断和有效的医疗护理对于改善患者结果至关重要.
- 需要标准化的指导方针来优化管理,并减少与十二指甲孔穿孔相关的并发症和死亡率.
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