目的调查活体肝移植供者健康相关生活质量,并与大样本健康人群做比较。方法采用横断面调查研究设计,基于欧洲五维健康量表(euro quality of life five-dimension questionnaire,EQ-5D-5L)制定调查问卷,采集数据并进行统计分析,具体方法...目的调查活体肝移植供者健康相关生活质量,并与大样本健康人群做比较。方法采用横断面调查研究设计,基于欧洲五维健康量表(euro quality of life five-dimension questionnaire,EQ-5D-5L)制定调查问卷,采集数据并进行统计分析,具体方法为多个独立样本比较的秩和检验(Kruskal-Wallis H)及两独立样本的非参数检验(Mann-Whitney U秩和检验)。结果本研究中活体肝移植供者共纳入77例活体肝移植供者,男性占比23.4%,女性占比76.6%,平均身高为(161.9±9.0)cm。存在问题最多的是焦虑或沮丧维度,占比68.8%,其次是疼痛或不舒服维度,占比32.5%。问题最少的是自我照顾维度,仅占1.3%。被调查者视觉模拟标尺VAS评分为(77.97±17.78)分。调查数据显示,VAS评分最低为36分,占比1.3%,最高100分,占比9.1%。婚姻状况在自我照顾维度、不同性别在焦虑或沮丧维度上存在显著差异。活体肝移植供者和健康对照人群的行动能力、自我照顾、日常生活维度没有显著差异,而疼痛或不舒服、焦虑或沮丧维度及VAS得分有显著差异,且健康对照人群优于活体肝移植供者。结论活体肝移植供者的健康相关生活质量较好,婚姻、性别是生活质量的影响因素。活体肝移植供者与健康对照人群相比,生活质量存在差距。展开更多
A 61-year-old woman was diagnosed with common bile duct stones and acute biliary pancreatitis. She had previously undergone cholecystectomy 5 years ago. A planed endoscopic retrograde cholangio-pancreatography (ERCP) ...A 61-year-old woman was diagnosed with common bile duct stones and acute biliary pancreatitis. She had previously undergone cholecystectomy 5 years ago. A planed endoscopic retrograde cholangio-pancreatography (ERCP) was arranged under general anesthesia. The patient was posed at prone position without bronchial intubation. Endoscopic access was achieved smoothly and cholangiography revealed mild dilation of the extrahepatic bile duct with mild graduate taper at ampullary region. Some filling defects were found inside lower CBD. A moderate sphincterotomy was made unremarkably, and some tiny stones were retrieved using a Dormia basket. A retrieval balloon was advanced into bile duct to make occlusion cholangiogram. At this moment, the endoscope lost its location into part one of duodenum. When the scope reaches back to descending duodenum, active bleeding was found coming out from orifice of papilla, accompanied with decreased oxygen saturation and arrhythmia. X-ray examination demonstrated gas within hepatic vein and inferior cava vein, although no free gas was observed in the renal region or subphrenic area. The endoscope was removed immediatelyand patient was changed to supine position. Vigorous cardiopulmonary resuscitation was begun immediately, unfortunately the patient did not response to all the efforts. The causes of death were thought to be systemic air embolism with cardiopulmonary failure.展开更多
文摘目的调查活体肝移植供者健康相关生活质量,并与大样本健康人群做比较。方法采用横断面调查研究设计,基于欧洲五维健康量表(euro quality of life five-dimension questionnaire,EQ-5D-5L)制定调查问卷,采集数据并进行统计分析,具体方法为多个独立样本比较的秩和检验(Kruskal-Wallis H)及两独立样本的非参数检验(Mann-Whitney U秩和检验)。结果本研究中活体肝移植供者共纳入77例活体肝移植供者,男性占比23.4%,女性占比76.6%,平均身高为(161.9±9.0)cm。存在问题最多的是焦虑或沮丧维度,占比68.8%,其次是疼痛或不舒服维度,占比32.5%。问题最少的是自我照顾维度,仅占1.3%。被调查者视觉模拟标尺VAS评分为(77.97±17.78)分。调查数据显示,VAS评分最低为36分,占比1.3%,最高100分,占比9.1%。婚姻状况在自我照顾维度、不同性别在焦虑或沮丧维度上存在显著差异。活体肝移植供者和健康对照人群的行动能力、自我照顾、日常生活维度没有显著差异,而疼痛或不舒服、焦虑或沮丧维度及VAS得分有显著差异,且健康对照人群优于活体肝移植供者。结论活体肝移植供者的健康相关生活质量较好,婚姻、性别是生活质量的影响因素。活体肝移植供者与健康对照人群相比,生活质量存在差距。
文摘A 61-year-old woman was diagnosed with common bile duct stones and acute biliary pancreatitis. She had previously undergone cholecystectomy 5 years ago. A planed endoscopic retrograde cholangio-pancreatography (ERCP) was arranged under general anesthesia. The patient was posed at prone position without bronchial intubation. Endoscopic access was achieved smoothly and cholangiography revealed mild dilation of the extrahepatic bile duct with mild graduate taper at ampullary region. Some filling defects were found inside lower CBD. A moderate sphincterotomy was made unremarkably, and some tiny stones were retrieved using a Dormia basket. A retrieval balloon was advanced into bile duct to make occlusion cholangiogram. At this moment, the endoscope lost its location into part one of duodenum. When the scope reaches back to descending duodenum, active bleeding was found coming out from orifice of papilla, accompanied with decreased oxygen saturation and arrhythmia. X-ray examination demonstrated gas within hepatic vein and inferior cava vein, although no free gas was observed in the renal region or subphrenic area. The endoscope was removed immediatelyand patient was changed to supine position. Vigorous cardiopulmonary resuscitation was begun immediately, unfortunately the patient did not response to all the efforts. The causes of death were thought to be systemic air embolism with cardiopulmonary failure.
