由于抗血小板治疗而延迟部骨折手术的并发症
V Moratalla Sasu1, N Bakhshaliyeva1, J Fernández González1
1Hospital Universitario de la Princesa, Madrid, Spain.
Revista espanola de anestesiologia y reanimacion
|February 15, 2025
概括
对接受抗血小板治疗的患者推迟关节骨折手术会增加医疗并发症和住院时间. 在安全的情况下,一般优先在48小时内进行早期手术,以避免这些不良结果.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 麻醉学 麻醉学
背景情况:
- 关节骨折在有多种健康问题的老年患者中很常见.
- 早期手术 (48小时内) 可以改善关节骨折的结果.
- 抗血小板治疗往往需要推迟手术以防止出血.
研究的目的:
- 在延迟 (>72小时) 和早期 (≤48小时) 的关节骨折手术中比较术前并发症.
- 评估两组患者是否需要输血.
- 评估住院时间的长度与手术时间的关系.
主要方法:
- 110名关节骨折患者的回顾性队列研究 (2012年12月 - 2018年4月).
- 由于抗血小板药物的使用,选择的手术延迟>72小时的患者.
- 1:1随机抽样,用于早期手术 (≤48小时) 的对照组.
主要成果:
- 延迟手术组的缺血性心脏病,脑血管事故和抗血小板使用率更高.
- 早期手术组的急性功能衰竭发病率较高 (14.6%对1.8%).
- 延迟组经历了更多的术后并发症 (20%vs5.5%) 和更长的住院时间 (15.2vs8.93天).
结论:
- 延迟关节骨折手术超过72小时与增加的医疗并发症有关.
- 较长的住院时间与关节骨折患者的手术介入延迟有关.
- 在管理关节骨折手术时刻时,仔细考虑抗血小板治疗至关重要.
关键词:
这是一个反集体化.抗血小板治疗是一种抗血小板疗法.在手术后出现的并发症.骨架骨折 (Fractura de cadera) 是一个严重的骨折.这就是脆弱的脆弱.脆弱性 脆弱性 脆弱性老年患者的患者.部骨折 部骨折 部骨折年龄较大的患者.术后并发症 术后并发症更多相关视频
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