在使用半坐姿的后腔手术中出现术后肺大脑病:流行率,因素和模式
Liezel Ulloque-Caamaño1, Mario Gomar-Alba2, Benjamin Romero-Leguina1
1LINT, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Zip code: 4000, Argentina; Neurosurgery Department, Hospital Ángel Cruz Padilla, Tucumán, Zip code: 4000, Argentina.
概括
在半坐姿 (SSP) 后的后腔 (PF) 手术后,术后肺脑病 (PPN) 是常见的. 腹腔下PPN,与较长的操作时间和老年患者相关,在本研究中不需要干预.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 放射学 放射学是一门学科.
背景情况:
- 在半坐姿 (SSP) 中的后腔 (PF) 手术提供了显著的好处.
- 一个主要的担忧是与SSP相关的术后肺大脑病 (PPN) 的风险.
- 这项研究调查了接受SSP的PF患者的PPN患病率和特征.
研究的目的:
- 确定手术后肺大脑病 (PPN) 在半坐姿 (SSP) 后 (PF) 手术的患者中的患病率.
- 确定与PPN发展相关的因素.
- 在这个患者队列中描述PPN的模式.
主要方法:
- 进行了一项观察性,描述性,横截面研究,采用前性数据收集.
- 包括2020年1月至2023年6月期间在两个机构的SSP中手术的192名内腔PF病理患者.
- 用手术后的CT扫描来评估PNP.
主要成果:
- 在术后CT扫描中,在93.2%的患者中观察到术后肺大脑病 (PPN).
- 最常见的PNP模式是皮肤下部,与较长的操作时间有关.
- 较老的患者组 (40-60岁和>60岁) 显示了更高的PNP存在.
- 重要的是,没有患者出现紧张性PPN,也没有人需要手术干预.
结论:
- 大多数在SSP接受PF手术的患者患有PNP,主要是皮肤下部.
- 操作时间和老年患者年龄与皮肤下PPN有关.
- 在这种情况下,没有张力PNPN表明SSP具有有利的安全概况.
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