在住院患者的胸腔切除术的结果和并发症
Kristin N Sheehan1, Bethany R Hines1, HarLeigh D Haynie2
1From the Department of Internal Medicine, Section on Pulmonary and Critical Care Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina.
Southern medical journal
|October 1, 2025
概括
住院患者的胸腔切除通常会导致并发症和长时间的住院. 常规的术后成像可能不需要,但大约20%的患者需要进行临床重新评估.
科学领域:
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 医疗程序 医疗程序
背景情况:
- 胸腔切开术是多发性溢出的一种常见手术.
- 预测胸腔切除后的不良结果是具有挑战性的.
- 指导方针表明,例行术后成像的效用有限,但遵守情况尚不清楚.
研究的目的:
- 确定胸腔切除后成像异常的速度.
- 评估例行术后成像的实用性.
- 评估接受胸腔切开术的住院患者的健康结果.
主要方法:
- 在学术医疗中心进行胸腔切除的成年住院患者的流行病学描述.
- 追溯图表审查,用于在2年期间提取数据.
主要成果:
- 分析了329名患者的425次胸腔切除手术.
- 手术后的异常包括肺胸部 (8.0%) 和复扩张性肺 (7.8%).
- 平均住院时间为13天;15%需要机械呼吸;8.1%在住院期间死亡.
结论:
- 大约20%的患者需要在胸腔切除后进行临床重新评估或干预.
- 接受胸腔整形的住院患者面临显著的发病率,死亡率和长时间住院.
- 住院胸腔切除突出了生命终结讨论和资源优化机会.
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