在紧急 laparoscopic 尾切除术中,是否需要常规组和保存采样?
Simeon Harrow1, Aaruran Nadarajasundaram2,3
1Surgery, Maidstone and Tunbridge Wells NHS Trust, Kent, GBR.
Cureus
|January 30, 2025
概括
在紧急腹腔镜尾切除术之前,常规的组和保存 (G&S) 采样可能不需要. 个性化风险评估可以识别需要术前G&S的患者,改善资源配置.
科学领域:
- 手术手术手术手术手术手术手术手术手术手术
- 紧急医疗 紧急医疗
- 输血医学 输血医学
背景情况:
- 腹腔镜尾切除术是急性尾炎的标准.
- 对于紧急尾切除术并发症,可能需要输血.
- 在紧急尾切除手术之前,需要进行例行组和保存 (G&S) 采样.
研究的目的:
- 评估在紧急腹腔镜尾切除术之前需要例行组和保存 (G&S) 采样的需要.
- 为了确定当前的G&S协议是否适用于此程序.
主要方法:
- 对G&S抽样数据的回顾性审查.
- 分析了英国两家医院的304例急诊腹腔镜尾切除病例.
- 纳入期间:2024年6月1日至2024年11月30日 (克罗伊登) 和2023年10月1日至2024年4月30日 (布里奇威尔斯).
主要成果:
- 304名患者接受了紧急腹腔镜尾切除术.
- 由于严重的贫血,只有1名患者 (0.3%) 接受了输血.
- 收集的G&S样品中有86.5%被处理;13.5%被血液银行拒绝.
结论:
- 忽略例行G&S采样似乎是紧急腹腔镜尾切除术的安全措施.
- 建议进行个性化风险评估,以识别需要手术前G&S的高风险患者.
- 这种方法可以优化血液银行的资源利用.
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