进入大气 - - 文献综述和当前建议
概括
大气内 (EAF) 是一种严重的外科并发症,需要分阶段,多学科的治疗. 由于其危及生命的性质和高昂的治疗成本,预防EAF至关重要.
科学领域:
- 手术并发症 手术并发症
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
背景情况:
- 进入大气 (EAF) 是一种严重的,危及生命的术后并发症.
- 它涉及肠道光膜打开进入腹壁缺陷,导致伤口污染和愈合问题.
- 腹腔炎显著增加了患者治疗费用,并被归类为腹部灾难.
研究的目的:
- 总结目前对治疗大气内囊 (EAF) 的建议.
- 讨论这种复杂的外科并发症的现代管理方法.
主要方法:
- 审查当前的文献和对待EAF的指导方针.
- 讨论一个分阶段,多学科的治疗策略.
- 强调积极的败血症管理,营养支持和重建性手术.
主要成果:
- 治疗EAF具有挑战性,持续时间长,需要三阶段的方法:败血症控制,缺陷护理/营养和重建.
- 在整个治疗过程中,患者有营养不良和二次并发症的风险.
- 预防EAF至关重要.
结论:
- 有效的欧洲农业基金管理需要一个全面的,分阶段的,多学科的战略.
- 治疗败血症,营养状况和伤口愈合对于成功的结果至关重要.
- 对现代方法的持续研究对于改善患者护理和降低死亡率至关重要.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
301
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
301
Enteral Nutrition I: Orogastric and Nasogastric Feeding
475
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
475
Esophageal Perforation-II: Clinical Manifestations and Management
151
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
151
Esophageal Strictures-II: Clinical Features and Management
161
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
161
Esophageal Perforation-I: Introduction
177
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
177
Inflammatory Bowel Disease V: Surgical Management
221
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
221


