减少血瘤手术后的空气泄漏:COPD的作用和患者管理
Daniel Scheese1, Devon C Freudenberger1, Elizabeth Mastoloni1
1Division of Cardiothoracic Surgery, Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
The Journal of surgical research
|February 27, 2025
概括
pleural empyema手术后的长期空气泄漏 (PAL) 影响了7.5%的患者,特别是慢性阻塞性肺病 (COPD) 患者. PAL增加了重新手术率和住院时间,突出了针对性预防措施的必要性.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 关键护理医学 关键护理医学
背景情况:
- 尽管医学取得了进步,但在美国,腹腔的发病率仍然很高.
- 对于膜静脉瘤的外科皮层切割,存在长期空气泄漏 (PAL) 的风险.
研究的目的:
- 为了确定发生率,预测因素和PAL的结局,在 Pleural empyema 进行外科皮层切割后.
- 为了确定与PAL发育相关的患者特征.
主要方法:
- 对228名患者的回顾性分析,这些患者接受了为肺肺炎进行外科皮层切割的手术 (2011-2021).
- 在PAL和没有PAL组之间对手术前特征和术后结果的比较.
- 进行了描述性单变量分析.
主要成果:
- PAL发生在7.5%的患者中.
- 在PAL患者中,慢性阻塞性肺病 (COPD) 的患病率 (82.4%与34.1%) 和终身吸烟的患病率显著增加.
- PAL与重新手术率的增加 (29.4%与8.1%) 和延长的输管治疗有关.
结论:
- 慢性肺炎是PAL的重要预测因子,它是在多发性恩皮埃马皮层化后出现的.
- PAL与更高的重新手术率和更长的住院时间有关.
- 术前识别高风险患者和有针对性的预防策略对于改善结果和降低医疗保健成本至关重要.
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