开心手术后并发症的频率与平均血小板体积之间的关系
Hakki Kursat Cetin1, Sadiye Deniz Ozsoy2, Ismail Haberal3
1Department of Cardiac Surgery, Sisli Etfal Training and Research Hospital, Istanbul, TUR.
Cureus
|February 26, 2026
概括
开心手术后血小板平均体积 (MPV) 升高表明术后并发症的风险较高. 这一发现表明,MPV可以帮助早期识别有风险的患者,以改善结果.
科学领域:
- 心血管外科心血管外科
- 血液学 血液学 血液学
- 临界护理医学 临界护理医学
背景情况:
- 手术后并发症在开心手术后显著增加患病率和死亡率.
- 早期识别高风险患者对于改善手术结果至关重要.
研究的目的:
- 为了研究平均血小板体积 (MPV) 和开心手术后术后并发症的发生率之间的关联.
- 评估MPV作为潜在的术后并发症预测标记.
主要方法:
- 对234名接受开放心脏手术的患者进行了回顾性分析.
- 根据手术后并发症的存在或不存在,将患者分为不同组.
- 分析了手术后24小时和48小时测量的MPV水平.
主要成果:
- 在患有并发症的患者中,在术后24小时和48小时观察到显著更高的MPV值 (p = 0.005,0.003).
- 在并发症组中也注意到血尿素 (BUN) 和肌素水平升高 (p = 0.001).
结论:
- 术后增加的MPV水平与开心手术后更高的并发症频率相关.
- MPV可以作为一种有价值的生物标志物,用于识别患有术后并发症风险较高的患者.
相关概念视频
Formation of the Platelet Plug
10.0K
The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
10.0K
Regulation of Stroke Volume
5.4K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
5.4K
Peripheral Artery Disease V: Postoperative Nursing Management
473
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
473
Cardiomyopathy VII: Pre and Post Operative Nursing Management
400
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
400
Structure and Function of Platelets
4.1K
The cell fragments known as platelets are disc-shaped, with an average diameter of about 3 μm and a thickness of roughly 1 μm. They play a crucial role in the body's vascular clotting system, which also involves plasma proteins, blood cells, and blood vessel tissues.
Platelets are continually replenished, circulating in the bloodstream for 9-12 days before being removed by phagocytes, primarily in the spleen. A microliter of circulating blood contains between 150,000 and 450,000...
Platelets are continually replenished, circulating in the bloodstream for 9-12 days before being removed by phagocytes, primarily in the spleen. A microliter of circulating blood contains between 150,000 and 450,000...
4.1K
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
3.9K
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
3.9K


