目的探究老年急性A型主动脉夹层(acute type A aortic dissection,ATAAD)患者新发术后心房颤动(postoperative atrial fibrillation,POAF)的列线图预测模型构建。方法选择2023年5月至2025年5月于南阳医学高等专科学校第一附属医院心脏...目的探究老年急性A型主动脉夹层(acute type A aortic dissection,ATAAD)患者新发术后心房颤动(postoperative atrial fibrillation,POAF)的列线图预测模型构建。方法选择2023年5月至2025年5月于南阳医学高等专科学校第一附属医院心脏外科手术治疗的老年ATAAD患者150例,根据有无POAF分为POAF组67例和无POAF组83例。采用R软件构建老年ATAAD患者合并POAF的风险列线图模型;采用ROC曲线评估列线图模型的预测能力。结果POAF组年龄、体外循环时间、C反应蛋白、左心房直径明显高于无POAF组(P<0.01)。年龄、体外循环时间、C反应蛋白、左心房直径为老年ATAAD患者合并POAF的危险因素(P<0.05),老年ATAAD患者合并POAF的风险列线图模型预测患者合并POAF的敏感性为79.10%,特异性为87.95%,ROC曲线下面积为0.832(95%CI:0.762~0.903)。结论老年ATAAD患者合并POAF与年龄、体外循环时间、C反应蛋白、左心房直径有关,基于此构建的列线图预测模型对老年ATAAD患者合并POAF有较好的预测能力。展开更多
Central venous catheterization(CVC)is a fundamental clinical procedure widely performed across medical specialties.However,the complication rate of subclavian vein catheterization ranges from 6%to 11%.[1]Common compli...Central venous catheterization(CVC)is a fundamental clinical procedure widely performed across medical specialties.However,the complication rate of subclavian vein catheterization ranges from 6%to 11%.[1]Common complications include hemothorax,pneumothorax,air embolism,arterial puncture,and aortic perforation.[2]Herein,we report a rare case of accidental puncture of the aorta during subclavian CVC,which was successfully managed with a ventricular septal defect(VSD)occluder.展开更多
文摘目的探究老年急性A型主动脉夹层(acute type A aortic dissection,ATAAD)患者新发术后心房颤动(postoperative atrial fibrillation,POAF)的列线图预测模型构建。方法选择2023年5月至2025年5月于南阳医学高等专科学校第一附属医院心脏外科手术治疗的老年ATAAD患者150例,根据有无POAF分为POAF组67例和无POAF组83例。采用R软件构建老年ATAAD患者合并POAF的风险列线图模型;采用ROC曲线评估列线图模型的预测能力。结果POAF组年龄、体外循环时间、C反应蛋白、左心房直径明显高于无POAF组(P<0.01)。年龄、体外循环时间、C反应蛋白、左心房直径为老年ATAAD患者合并POAF的危险因素(P<0.05),老年ATAAD患者合并POAF的风险列线图模型预测患者合并POAF的敏感性为79.10%,特异性为87.95%,ROC曲线下面积为0.832(95%CI:0.762~0.903)。结论老年ATAAD患者合并POAF与年龄、体外循环时间、C反应蛋白、左心房直径有关,基于此构建的列线图预测模型对老年ATAAD患者合并POAF有较好的预测能力。
基金supported by a grant from the Beijing Union Medical College Foundation-Rui E Emergency Medicine Research Fund in 2025。
文摘Central venous catheterization(CVC)is a fundamental clinical procedure widely performed across medical specialties.However,the complication rate of subclavian vein catheterization ranges from 6%to 11%.[1]Common complications include hemothorax,pneumothorax,air embolism,arterial puncture,and aortic perforation.[2]Herein,we report a rare case of accidental puncture of the aorta during subclavian CVC,which was successfully managed with a ventricular septal defect(VSD)occluder.
