术前贫血对胸部手术患者术后并发症的影响:一项前性描述性研究
Ayten Saraçoğlu1,2, Gül Çakmak3, Bushra M Abdallah2
1Department of Anaesthesiology, College of Medicine, University of Florida, Florida, United States of America.
Turkish journal of surgery
|December 1, 2025
概括
胸腔手术患者的手术前贫血会增加出血,并发症和住院时间. 在手术前治疗贫血可以改善患者的治疗结果并减少不良事件.
科学领域:
- 心血管医学 心血管医学
- 手术瘤学手术瘤学
- 血液学 血液学 血液学
背景情况:
- 手术前贫血是胸部手术中输血增加的一个已知的危险因素.
- 了解术前贫血和不良结果之间的关联对于患者管理至关重要.
研究的目的:
- 调查手术前贫血和胸部手术患者的负面结果之间的联系.
- 在这个患者群体中确定与手术前贫血相关的特定不良事件.
主要方法:
- 对接受胸部手术的成年患者进行前性描述性研究.
- 分类为手术前贫血 (Hb <13 g/dL男性,<12 g/dL女性) 和非贫血组.
- 收集人口统计,手术内,实验室和术后数据,包括并发症和输血需求.
主要成果:
- 与非贫血患者 (n=75) 相比,手术前贫血患者 (n=29) 的手术内出血,结晶体使用和胸管排水显著增加.
- 在贫血组中观察到手术后红细胞 (pRBC) 输血的增加.
- 更高的并发症率 (31% vs. 8%) 和更长的住院时间 (9.6 vs. 7.7 天) 与手术前贫血有关.
结论:
- 术前贫血显著影响胸部手术,导致出血增加,并发症和延长住院时间.
- 这些发现强调了手术前贫血评估和优化的重要性,以提高手术结果.
- 对贫血的早期干预可以减轻风险,并改善胸部手术中的整体患者体验.
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