[腹部手术中的死亡原因和机制]
A G Butyrskii1, V Yu Mikhaylichenko1, A S Aliev2
1Vernadsky Crimean Federal University, Simferopol, Russia.
Khirurgiia
|December 19, 2025
概括
在腹部手术后的术后死亡率通常是由循环失败引起的. 了解这些原因和时间对于改善患者在整个术后期和出院后的结果至关重要.
科学领域:
- 外科手术 手术手术
- 关键护理医学 关键护理医学
- 病理学 病理学 病理学
背景情况:
- 术后死亡率仍然是腹部外科手术的一个重大问题.
- 确定死亡的确切原因和机制对于制定有针对性的干预措施至关重要.
研究的目的:
- 确定导致腹部手术后30天内死亡的原因和机制.
- 用统计模型分析与术后死亡相关的因素.
主要方法:
- 分析了一组550名接受腹部手术的患者.
- 主要终点包括30天内死亡的机制和原因.
- 用混合效应的Cox比例危险模型来研究与死亡率相关的因素.
主要成果:
- 总体而言,10.7%的患者 (59/550) 在30天内死亡. 血液循环衰竭是主要原因,包括分发性,低血压性,阻塞性和心脏发生机制.
- 常见的特定原因包括胃肠道穿孔,上胃肠道出血,肺栓塞 (PE) 和肠道.
- 死亡率发生在整个外科手术前期,有很大比例的死亡发生在14天后和医院外.
结论:
- 循环衰竭是腹部手术后死亡的主要原因.
- 死亡的时间强调了整个外科手术前期和退院后的风险.
- 为了更好地理解和管理,建议将死亡分为主要 (与疾病相关) 和次要 (与并发症相关) 类别.
相关概念视频
Esophageal Perforation-I: Introduction
393
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
393
Esophageal Perforation-II: Clinical Manifestations and Management
462
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
462
Appendicitis-I: Introduction
2.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.1K
Aneurysm IV: Nursing Management
353
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
353
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
514
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
514
Peptic Ulcer Disease V: Surgical Management and Nursing Care
786
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
786


