探索癌症危机:来自特定癌症中心的见解
Maribel Del Olmo-García1,2, Grace Kong3,4, HuiLi Wong4,5
1Department of Endocrinology and Nutrition, University and Polytechnic Hospital La Fe, Valencia, Spain.
在患有癌症综合征 (CS) 的患者中,43%的手术中发生了癌症危机 (CC). 术前生物标志物和手术内低血压是管理CC风险和结果的关键.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 心脏病学 心脏病学
背景情况:
- 接受手术的癌综合征 (CS) 患者有癌危机 (CC) 的风险.
- 了解CC的患病率和风险因素对于患者管理至关重要.
研究的目的:
- 为了确定发生率,手术前的生物标志物和癌症危机 (CC) 的管理策略,在专门的癌症医院.
- 确定与CC相关的因素及其对患者结果的影响.
主要方法:
- 在5年内对48名CS患者进行71次手术的回顾性观察研究.
- 使用严格 (SBP<80 mmHg>10分钟) 和广泛的标准 (严重的血液动力学不稳定性) 评估CC发病率.
- 分析了电子血液动力学数据和患者记录.
主要成果:
- 根据广泛的标准,CC发生在43%的手术中,根据严格的标准发生在20%,在全身疗法中没有CC.
- 严格定义的CC与较高的染色素A,5-HIAA,BNP,更长的住院时间和更多的术后并发症有关.
- 术后平均动脉压 (MAP) 的降低与术后结果更差,住院时间更长相关.
结论:
- 术前生物标志物评估对于识别CS患者有CC风险至关重要.
- 术内低血压是不良术后结果的重要预测因素,也是该队列中CC的关键定义.
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