在进行 (心肺) 移植的外科手术后的部并发症 - - 一项系统性文献综述
Dorine S Klei1, Rengin Sabaoğlu2, Mostafa M Mokhles2
1Department of Trauma Surgery, University Medical Centre Utrecht, 3584 CX Utrecht, The Netherlands.
概括
在心肺移植的骨外科手术后,骨并发症很常见. 这次审查发现这些问题的高患病率,表明需要更好的外科手术技术和患者选择.
科学领域:
- 心胸外科手术 心胸外科手术
- 移植医学 移植医学
- 手术并发症 手术并发症
背景情况:
- 双边横向胸腔切除术或贝手术是心肺移植的标准方法.
- 在接受这种手术的患者中,手术后的胸并发症是一个重大挑战.
研究的目的:
- 在心肺移植患者中,系统地审查和评估骨外科手术后骨并发症的患病率.
主要方法:
- 对PubMed和Embase数据库进行了系统的文献审查.
- 分析了包括828名患者在内的18项研究,以确定胸部并发症的发生率.
- 使用NIH评估工具评估研究质量;由于异质性,没有进行元分析.
主要成果:
- 在830项手术中报告了286例胸部并发症 (每次手术发生0.34例).
- 在90例病例中进行了骨再手术 (每次手术0.14次).
- 在个别研究中,患病率差异很大.
结论:
- 这一综述强调了心肺移植的贝外科手术后骨并发症的高患病率和临床意义.
- 需要进一步研究患者选择,风险分层以及改进的胸关闭技术或替代性手术方法.
相关概念视频
Flail Chest-II
540
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
540
Cardiomyopathy VII: Pre and Post Operative Nursing Management
288
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...
288
Mitral Stenosis IV: Nursing Management
247
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
247
Pneumothorax-II
921
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
921


