损害控制腹部手术的并发症:你需要知道的
Sandra Farach1, Mira H Ghneim, Brandon Bruns
1From the Division of Acute Care Surgery (S.F., J.J.D.), Department of Surgery, Morsani College of Medicine, University of South Florida; Program in Trauma (M.H.G.), University of Maryland School of Medicine/R Adams Cowley Shock Trauma Center; University of Texas Southwestern Medical Center (B.B.); and The Ohio State University Wexner Medical Center (N.T.M.).
在关键手术中使用的开腹技术,呈现出因时间而异的并发症. 了解这些早期,中期和晚期问题是成功治疗患者的关键.
科学领域:
- 手术技术手术技术的使用.
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
背景情况:
- 开放腹部是创伤,紧急普通手术和血管紧急情况的关键手术方法.
- 虽然已经确立,但它具有显著的发病率和死亡率风险.
- 并发症取决于时间,发生在手术后的早期,中期和晚期.
研究的目的:
- 审查和分类与开放腹部相关的常见并发症.
- 提供基于时间表的潜在不良事件的理解.
- 突出这一技术实现临床成功的重要方面.
主要方法:
- 审查与开放腹部相关的常见并发症.
- 根据最初手术后的时间,对并发症进行分类.
- 证据水平:IV. 证据水平:IV.
主要成果:
- 早期的并发症包括流体/电解质损失,需要机械通风和营养支持.
- 中途问题包括域损失,腹部内感染和医院感染.
- 晚期课程的挑战主要集中在实现关闭,管理腹腔,和大气.
结论:
- 腹部开放需要仔细管理,以减轻风险.
- 复杂性时间决定了具体的干预和监测.
- 遵守既定的协议对于开放腹部管理的成功结果至关重要.
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