在成年人中患有中质群体的周围手术并发症
Christina R Bellinger1, Margo Lannan2, Mitchell Butler Gigandet3
1From the Department of Pulmonary/Critical Care, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
经过手术的中质患者的并发症率很低,即使有呼吸道阻塞. 需要进一步的研究,以优化管理这些复杂的案例.
科学领域:
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
- 心血管外科心血管外科
背景情况:
- 在麻醉期间,中质量会导致呼吸和心血管并发症的风险.
- 关于这些成人并发症的先前数据仅限于罕见病例报告.
研究的目的:
- 调查接受中质质手术的患者中术后并发症的发生率和性质.
- 在临床环境中评估中质体外科切除或活检的安全性.
主要方法:
- 在10年的时间里,对122名接受中质量手术的患者进行了回顾性审查.
- 对术后结果的分析,包括手术内和手术后的并发症.
- 评估诸如质量大小,呼吸道阻塞和心血管结构压缩等因素.
主要成果:
- 大多数手术 (78.8%) 都是在全身麻醉下进行的.
- 5.2%的患者经历了手术过程中的并发症 (例如缺氧),7.0%的患者经历了手术后的并发症 (例如呼吸衰竭,循环休克).
- 在麻醉诱导或支气管镜检查期间没有出现呼吸道或循环系统崩;没有死亡报告.
结论:
- 对于中质的手术,即使存在气道阻塞或结构压缩,也可以在较低的并发症率下进行.
- 最佳的患者管理需要及时诊断和多学科的气道管理方法.
- 有必要进行前性研究,以进一步确定最佳的患者管理策略.
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