相关实验视频
Updated: Sep 14, 2025

14:45
Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
14.8K
在紧急腹部手术后出现术后并发症的危险因素:未来的儿科队列
Mohamed Zouari1,2, Wiem Rhaiem1,2, Manel Belhajmansour1,2
1Research Laboratory "developmental and Induced Diseases" (LR19ES12), Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
World journal of surgery
|July 23, 2025
概括
识别长期症状和高并发症等危险因素可以帮助预测儿科紧急腹部手术中的术后并发症. 这有助于早期风险分层和量身定制的患者管理.
科学领域:
- 儿科手术 儿科手术
- 手术结果研究研究.
- 临床风险预测预测
背景情况:
- 手术后的并发症是儿童紧急腹部手术的一个重要问题.
- 这些不良事件的可靠预测因素在儿科人口中缺乏.
研究的目的:
- 在接受紧急腹部手术的儿童中确定术后并发症的独立风险因素.
主要方法:
- 在儿科外科部门进行的前性研究.
- 包括所有接受紧急腹部手术的14岁以下儿童.
- 多变量分析以确定预测因素.
主要成果:
- 在582名儿科患者中,有12.4%患有术后并发症.
- 确定了独立预测因素:症状持续时间> 48小时,儿科并发症指数≥ 3,白细胞计数> 15 × 10^9/L,手术时间> 100分钟.
- 常见的并发症包括手术部位感染和粘合性小肠阻塞.
结论:
- 对已识别的风险因素的系统评估使得早期风险分层成为可能.
- 这些因素可以指导高风险儿科手术患者的术后监测和治疗决策.
- 在某些特定情况下,有可能证明更激烈或更长时间的抗生素治疗是合理的.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
177
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
177
Aneurysm IV: Nursing Management
20
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
20
Kidney Transplant II: Surgical Procedure
76
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
76
Cardiomyopathy VII: Pre and Post Operative Nursing Management
28
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
28
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
108
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
108
Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
