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Journal of Surgery Research and Practice最新文献

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Subacute Management of Ruptured Lung Hydatid Cysts in Pediatrics 儿科肺包虫病破裂的亚急性处理
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2022.3102
Salma Abed Samamqa, Ali K Salah, Shaimaa Awawdeh, Amer Y. AbuRumaila, M. Mohtasib, Y. A. Asbeh
Background: The aim of this observational, retrospective study was to review and describe clinical presentations and subacute management of patients with complicated Pulmonary Hydatid Cysts (PHC) and its outcome. Cases Preview: Six patients, suffering from 10 lung hydatid cysts, with a mean age of 10 years (3-15) year old, of these six patients, there were three males and three females, the most common presentation was ruptured hydatid cyst in four of the cases, all of them were associated with liver hydatid cysts, there were no other organ involvement, the cysts size was ranging from 2.5-10 cm, with mean size of 5 cm. The presenting symptoms were fever, dry cough, shortness of breath, chest pain on the affected side, hemoptysis, recurrent chest infection, hematemesis and vomiting, we didn’t witness any anaphylactic episodes in our study.
背景:本观察性回顾性研究的目的是回顾和描述合并肺包虫病(PHC)患者的临床表现和亚急性处理及其结果。病例简介:6例患者,共10例肺包虫病,平均年龄10岁(3-15岁),男3例,女3例,最常见的表现为4例包虫病破裂,均合并肝包虫病,未累及其他脏器,包虫病大小2.5-10 cm,平均5 cm。临床表现为发热、干咳、气短、患侧胸痛、咯血、反复胸腔感染、呕血、呕吐,本研究未见过敏发作。
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引用次数: 0
Editor’s Note Editor’s音符
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2020.1201
Dr. Safi Khuri
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引用次数: 0
Allocation of Extra Surgical Staff in Surgical Assessment Unit (SAU) - An Effective Strategy for Improvement? 外科评估组(SAU)额外外科人员的分配-一个有效的改进策略?
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2021.2307
Muhammad Ali, R. Castelhano, S. Ng, A. Owais, R. Alexander
Background: SAU is a recognized model of care in managing acute surgical patients, but limited resources and growing workload are affecting its efficiency. This study aimed to assess if the allocation of an extra registrar in surgical assessment unit would increase its efficiency. Methods: We routinely record patient arrival, triage, junior doctor (house officer/senior house officer) and senior doctor review (registrar) times in our SAU. Data was collected retrospectively for all general surgical patient waiting times and number of patients discharged in June/July 2018 over 20 days. In the second part of the study, after allocation of a second duty registrar during peak times (14:00-18:00hrs), data was prospectively collected for the same parameters during June/July 2019. In both cycles of study, the data was collected from Monday to Friday between (08:00-20:00 hours). This allowed us to compare both sets of data fairly. We statistically analysed the data using 2 tailed t tests. Results: The total number of patients in 1reg and 2reg studies were 182 and 196 respectively. In the 1reg group, the mean waiting times from patient triage to senior doctor review and junior to senior doctor review were 154 and 121 minutes respectively. These times were 110 and 75 minutes respectively in the 2reg group. Statistical analysis revealed that waiting times were significantly shorter (p=0.001, P=0.0003) in the 2 reg group. The number of patients discharged
背景:SAU是一种公认的急诊外科患者护理模式,但有限的资源和不断增加的工作量影响了其效率。本研究旨在评估是否在外科评估单元分配额外的注册员将提高其效率。方法:我们在SAU例行记录患者到达、分诊、初级医生(住院部主任/高级住院部主任)和高级医生复查(登记员)次数。回顾性收集2018年6月/ 7月所有普通外科患者等待时间和出院人数超过20天的数据。在研究的第二部分,在高峰时段(14:00-18:00)分配了第二名值班登记员后,在2019年6月/ 7月期间前瞻性地收集了相同参数的数据。在两个周期的研究中,数据收集时间为周一至周五(08:00-20:00)。这使我们能够公平地比较两组数据。我们使用双尾t检验对数据进行统计分析。结果:1regg和2regg研究的患者总数分别为182例和196例。在1regg组中,从患者分诊到高级医生复查和从初级到高级医生复查的平均等待时间分别为154分钟和121分钟。两组的时间分别为110分钟和75分钟。统计分析显示,2 reg组的等待时间明显缩短(p=0.001, p= 0.0003)。出院人数
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引用次数: 0
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Journal of Surgery Research and Practice
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