围心输液的外科管理策略 - 一个系统的审查
Ruman K Qasba1, Busra Cangut2, Amnah Alhazmi1
1Division of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Journal of clinical medicine
|July 29, 2025
概括
腹膜下心脏窗口是心脏外流管理中最常见的手术方法. 治疗结果取决于潜在的原因和选择的排水策略,需要个性化的患者护理.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 医疗技术 医疗技术 医学技术
背景情况:
- 心周溢出涉及心周囊中过多的液体积累.
- 管理策略各不相同,包括亚管切除,胸腔切除,VATS和心周切除.
研究的目的:
- 系统地审查和评估心周溢血的外科治疗策略.
- 分析与不同外科手术方法相关的结果.
主要方法:
- 使用PubMed,Cochrane和Scopus数据库进行了系统的文献审查.
- 包括到2024年2月发表的关于手术心周溢出管理的研究.
- 提取和分析了有关患者特征,程序和结果的数据.
主要成果:
- 分析了27项涉及2773名患者的研究.
- 恶性病变,心脏手术后和异常原因是最常见的病因.
- 腹膜下心脏窗口是主要的方法 (82.6%),排泄的复发是最常见的并发症 (10.5%).
结论:
- 腹膜下腹膜窗口是最常用的外科手术技术,用于腹膜溢出.
- 预后受的病因和选择的排水方法的影响.
- 考虑到患者的并发病和病因学的量身定制的治疗计划对于最佳结果至关重要.
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