uncommon complications

  • 文章类型: Case Reports
    韧带样肿瘤(DT)是一种罕见的由肌肉腱膜引起的良性肿瘤,主要与外伤或怀孕有关。DT具有渗透性和局部侵略性的生长模式,通常不会转移。然而,复发率和并发症发生率高。当它发生在怀孕时,怀孕和分娩被视为医生和助产士最佳管理的个案,在为患者寻找最佳分娩模式时需要谨慎,这取决于肿瘤的大小,location,行为,和过去的历史。作者报告了一例29岁的孕妇,该孕妇先前曾接受过大型腹壁硬纤维瘤的全身肿瘤治疗,随后怀孕。DT的历史提出了后续行动和交付挑战。在妊娠第38+4周选择选择性剖宫产的观察性管理,产后随访无并发症。作者详细介绍了临床管理和选择的治疗方法;化疗可以成为DTs患者治疗选择的一种选择,尽管大多数DTs都是通过随后的网状塑料进行手术治疗的。此外,作者提供了一个系统的文献,重点是孕妇在怀孕期间和产后期间DTs的治疗管理,因为妊娠相关的硬纤维瘤是一种特定条件,在没有建立最佳管理的地方,尽管一些针对非怀孕患者的指南。
    A desmoid tumor (DT) is a rare benign neoplasm arising from muscle aponeurosis, associated mostly with trauma or pregnancy. DT has an infiltrative and locally aggressive growth pattern and usually does not metastasize. However, it has a high recurrence and complication rate. When it occurs in pregnancy, the pregnancy and delivery is taken as an individual case for optimal management by physicians and midwifes, who need to be cautious in finding the optimal delivery mode for the patient, which depends on the tumor size, location, behavior, and past history. The authors report a case of 29-year-old pregnant woman who previously underwent systemic oncological treatment for a large abdominal wall desmoid tumor and became pregnant afterwards. The history of DT presented a follow-up and delivery challenge. Observational management was chosen with an elective cesarean section at week 38 + 4 of pregnancy with uncomplicated postpartum follow-up. The authors detail the clinical management and chosen therapeutic approach; chemotherapy can be a choice in the treatment options for patients with DTs, although the majority of DTs are treated surgically with subsequent mesh plastic. Moreover, the authors provide a systematic review of the literature focused on the treatment management of DTs in pregnant women during pregnancy and the postpartum period, as pregnancy-associated desmoid tumors are a specific condition, where the optimal management is not well established, despite some guidelines for non-pregnant patients.
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    文章类型: Journal Article
    UNASSIGNED:为确定肺移植后的罕见临床并发症和解决这些并发症的治疗方案做出了许多努力;然而,许多罕见的并发症在最近的出版物中没有提到。评估和记录器官移植后的不良反应可以显着预防移植后的死亡率。这项研究旨在通过检查接受肺移植手术的个体来检查排斥因素。
    未经评估:在一项前瞻性纵向研究中,从2010年至2018年,我们对60名肺移植术后肺受者的并发症进行了为期6年的随访.在这些年的随访或住院中记录所有并发症。最后,通过设计问卷对患者的信息进行分类和评估.
    UNASSIGNED:共有60个移植接受者,从2010年到2018年,我们最初招募了58名患者,但是两个人在后续行动中失踪了。移植后罕见的并发症包括内源性眼内炎,疱疹性角膜炎,十二指肠圆线虫病,肠道隐孢子虫病,心肌梗塞,膈肌功能障碍,乳糜胸,甲状腺结节,坏死性胰腺炎.
    UNASSIGNED:精心的术后监测对于管理肺移植患者,以便早期发现和治疗常见和不常见的并发症至关重要。因此,有必要建立程序来评估患者的稳定性,直到完全康复。
    UNASSIGNED: Many efforts were made to determine the uncommon clinical complications after lung transplantation and treatment options to tackle them; however, many of these rare complications have not been mentioned in recent publications. Evaluating and recording adverse effects after organ transplantation can significantly prevent post-transplant mortality. This study aimed to examine rejection factors by examining individuals undergoing lung transplantation surgery.
    UNASSIGNED: In a prospective longitudinal study, we followed up on complications of 60 lung recipients post lung-transplantation surgery for six years from 2010 to 2018. All complications were recorded in follow-up visits or hospital admissions during these years. Finally, the patients\' information was categorized and evaluated by designing a questionnaire.
    UNASSIGNED: From a total of 60 transplant recipients, from 2010 to 2018, 58 patients were initially enrolled in our study, but two were lost to follow-up. Uncommon complications witnessed in the post-transplantation period included endogenous endophthalmitis, herpetic keratitis, duodenal strongyloidiasis, intestinal cryptosporidiosis, myocardial infarction, diaphragm dysfunction, Chylothorax, thyroid nodule, and necrotizing pancreatitis.
    UNASSIGNED: Meticulous postoperative surveillance is crucial for managing lung transplant patients for early detection and treatment of common and uncommon complications. Therefore, it is necessary to establish procedures for assessing the patients\' constancy until complete recovery.
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  • 文章类型: Journal Article
    本研究旨在基于对病例报告和病例系列的范围审查,探讨与第三磨牙拔除相关的罕见并发症的类型和频率。该研究使用了截至2020年3月31日基于PubMed和Embase的电子文献检索,并于2021年10月22日进行了更新。包括任何报告与第三磨牙拔除相关并发症的病例报告和病例系列。对并发症类型进行分组,总结各类并发症的主要症状。在186项研究的248例患者中,共发现了51种不常见的并发症。大多数类型的并发症是术后。在颅面和颈部,最常见的并发症包括医源性颅面区域磨牙或牙根碎片移位,下颌骨晚期骨折,还有皮下肺气肿.在其他地区,最常见的并发症包括纵隔气肿,肺出血,气胸,和心包积气.在患者中,37例患者有危及生命的罕见并发症,20例患者有与第三磨牙拔除相关的长期/不可逆的罕见并发症。总之,发现了与第三磨牙拔除相关的多种罕见并发症.大多数并发症发生在颅面和颈部,并且是轻度和短暂的。
    The current study aimed to explore the types and frequencies of uncommon complications associated with third molar extractions based on a scoping review of case reports and case series. The study used an electronic literature search based on PubMed and Embase up to March 31, 2020, with an update performed on October 22, 2021. Any case reports and case series that reported complications associated with third molar extractions were included. The types of complications were grouped and the main symptoms of each type of complication were summarized. A total of 51 types of uncommon complications were identified in 248 patients from 186 studies. Most types of complications were post-operative. In the craniofacial and cervical regions, the most frequent complications included iatrogenic displacement of the molars or root fragments in the craniofacial area, late mandibular fracture, and subcutaneous emphysema. In other regions, the most frequent complications include pneumomediastinum, pneumorrhachis, pneumothorax, and pneumopericardium. Of the patients, 37 patients had life-threatening uncommon complications and 20 patients had long-term/irreversible uncommon complications associated with third molar extractions. In conclusion, a variety of uncommon complications associated with third molar extractions were identified. Most complications occurred in the craniofacial and cervical regions and were mild and transient.
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