补偿性出汗和满意度的预测者 随着内镜胸部交感链剪切用于手掌/椎过
Dania Nachira1, Maria Letizia Vita1, Antonio Giulio Napolitano1
1Department of Thoracic Surgery, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Journal of clinical medicine
|January 25, 2025
概括
内镜胸腔交感链切割 (ETSC) 有效地治疗过,改善生活质量. 老年患者在此过程后面临更高的补偿性出汗风险.
科学领域:
- 胸部外科手术 胸部外科手术
- 皮肤病学 皮肤病学
- 生活质量研究 研究 生命质量研究
背景情况:
- 主要手掌和/或手臂水症 (PPAH) 显著影响日常生活.
- 透视胸腔交感链切割 (ETSC) 是PPAH的终极治疗方法.
- 补偿性出汗 (CS) 是ETSC的一个重要并发症.
研究的目的:
- 为了确定预测ETSC后补偿性出汗 (CS) 的因素.
- 评估患者对PPAH的ETSC的满意度.
- 评估经过ETSC的术后生活质量 (QoL).
主要方法:
- 从2011年到2023年进行两阶段ETSC的180名患者的前性研究.
- 术前和术后的问卷调查评估了满意度,CS和QOL.
- 用于确定CS和满意度的预测指标的多变量分析.
主要成果:
- 50.8%的患者经历了CS,其中5.7%报告严重的CS.
- 在95.3%的患者中,ETSC显示了95.9%的有效性,改善了QoL.
- 年龄较大 (>24岁) 是CS和严重的CS的唯一预测因素.
结论:
- ETSC是一种有效的治疗手掌/手过症,增强QOL.
- 患者的满意度很高,大多数人都愿意再次接受手术.
- 应向老年人就ESC后CS的风险增加提供咨询.
相关概念视频
Thermosensation
30.3K
Peripheral thermosensation is the perception of external temperature. A change in temperature (on the surface of the skin and other tissues) is detected by a family of temperature-sensitive ion channels called Transient Receptor Potential, or TRP, receptors. These receptors are located on free nerve endings. Those detecting cold temperatures are closer to the surface of the skin than the nerve endings detecting warmth. These thermoTRP channels, while temperature selective, have relatively...
30.3K
Assessment of the Cardiovascular System III: Palpation
184
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
184
Assessing Body Temperature - Axilla
571
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
571
Endoscopic Studies II: Thoracocentesis
196
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...
196


