血液感染对由于急性尾炎而经历尾切除的患者的影响
Akina Shinkura1, Kenya Yamanaka1, Makoto Kurimoto1
1Department of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Surgery in practice and science
|January 23, 2025
概括
急性尾炎的血流感染 (BSI) 显著恶化了患者的结果,增加了并发症和住院时间. 在紧急尾切除过程中,考虑为老年患者和高胆红素水平的人提供血培养.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 传染性疾病传染性疾病.
背景情况:
- 尾炎的严重程度分类没有考虑血流感染 (BSI).
- 在重症监护机构中,BSI是关键因素.
- 对于急性尾炎的紧急尾切除术中BSI的临床影响需要进行研究.
研究的目的:
- 为了确定血液感染 (BSI) 对急性尾炎的紧急尾切除术患者的临床影响.
- 评估BSI和急性尾炎的术后结果之间的关联.
主要方法:
- 对急性尾炎患者进行紧急手术的回顾性审查.
- 从2015年7月到2020年1月收集的数据.
- 多变量分析以确定与BSI相关的因素.
主要成果:
- 血流感染 (BSI) 在9%的患者中存在 (14/154).
- 患有BSI的患者经历了较高的严重并发症,再入院和更长的住院时间.
- 高龄 (≥58岁) 和胆红素升高 (≥2.0毫克/分升) 独立地与BSI相关.
结论:
- 血流感染 (BSI) 无论尾炎的复杂性如何,都会对急性尾炎的术后结果产生负面影响.
- 建议老年患者和患有高白血症的患者接受紧急尾切除手术时进行例行血培养.
- 识别BSI对于治疗急性尾炎和改善患者预后至关重要.
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