Perioperative morbidity and mortality associated with vitreoretinal and ocular oncologic surgery performed under general anesthesia.
Perioperative morbidity and mortality associated with vitreoretinal and ocular oncologic surgery performed under general anesthesia.
复制标题
与全身麻醉下进行的玻璃体视网膜和眼部肿瘤手术相关的围手术期发病率和死亡率。
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
D. Robertson
中科院分区：
文献类型：
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作者：
C. McCannel;J. Nordlund;D. Bacon;D. Robertson
目的
旨在确定全身麻醉下进行玻璃体视网膜手术后术后全身并发症的发生率和长期住院的非眼科原因。
方法
回顾性回顾了 1996 年至 2001 年间在全身麻醉下进行的玻璃体视网膜或眼部肿瘤手术病例的患者图表。记录手术后 4 周内发生的术后全身事件。
结果
我们确定了 418 例病例在研究期间是在全身麻醉下进行的。美国麻醉学会平均身体状况分类为 2.1。术后24小时内没有确诊的心肌梗死（MI）、肺栓塞（PE）或深静脉血栓（DVT）病例。有 2 例因术后胸痛评估而入院（0.48%；95% CI，0.06-1.72），4 例因尿潴留入院或延长住院时间（0.96%；95% CI，0.26-2.43）。术后 4 周内，发生 1 例 MI（0.24%；95% CI，0.01-1.33）、2 例非致命性 PE（0.48%；95% CI，0.06-1.72）和 2 例 DVT（0.48%；95% CI，0.06-1.72）。除全身麻醉下手术外，所有发生 PE 和 DVT 的患者均存在发生血栓栓塞性疾病的危险因素。
结论
在这项研究中，2.6% 的病例在全身麻醉下进行玻璃体视网膜或眼部肿瘤手术后出现术后全身并发症。尿潴留是意外住院的最常见原因。
PURPOSE
To determine the incidence of postoperative systemic complications and nonophthalmic reasons for prolonged hospitalization after vitreoretinal procedures performed under general anesthesia.
METHODS
Patient charts of vitreoretinal or ocular oncologic surgical cases performed under general anesthesia between 1996 and 2001 were reviewed retrospectively. Occurrences of postoperative systemic events within 4 weeks of surgery were documented.
RESULTS
We identified 418 cases as having been performed under general anesthesia during the study period. The mean American Society of Anesthesiology physical status classification was 2.1. There were no confirmed cases of myocardial infarction (MI), pulmonary embolism (PE), or deep venous thrombosis (DVT) within the first 24 hours after surgery. There were two instances of hospital admission for evaluation of postoperative chest pain (0.48%; 95% CI, 0.06-1.72), and four instances of hospital admission, or prolongation of stay, because of urinary retention (0.96%; 95% CI, 0.26-2.43). In the 4 weeks following surgery, there was one MI (0.24%; 95% CI, 0.01-1.33), 2 cases of nonfatal PE (0.48%; 95% CI, 0.06-1.72), and 2 cases of DVT (0.48%; 95% CI, 0.06-1.72). All patients that developed PE and DVT had risk factors for the development of thromboembolic disease in addition to surgery under general anesthesia.
CONCLUSIONS
In this study, 2.6% of cases had postoperative systemic complications after vitreoretinal or ocular oncologic surgery that was conducted under general anesthesia. Urinary retention was the most common reason for unanticipated hospital stay.