{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T10:43:48Z","timestamp":1698403428216},"reference-count":28,"publisher":"Akademiai Kiado Zrt.","issue":"43","license":[{"start":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T00:00:00Z","timestamp":1666483200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,10,23]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s \u00e9s c\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A haemothorax sz\u00e9ls\u0151s\u00e9gesen k\u00fcl\u00f6nb\u00f6z\u0151\n                    etiol\u00f3gi\u00e1j\u00fa \u00e9s s\u00falyoss\u00e1g\u00fa k\u00f3rk\u00e9pek gy\u0171jt\u0151fogalma. S\u00falyos, massz\u00edv form\u00e1ja a\n                    leggyakrabban traum\u00e1s eredet\u0171, nemritk\u00e1n iatrog\u00e9n (intervenci\u00f3, alvad\u00e1st\n                    befoly\u00e1sol\u00f3 szerek), \u00e9s elv\u00e9tve ismeretlen. Az okt\u00f3l, a volument\u0151l, a\n                    dinamik\u00e1t\u00f3l f\u00fcgg\u0151, az adott beteghez illesztett \u00e9s a m\u00f3dszerekhez val\u00f3\n                    hozz\u00e1f\u00e9r\u00e9s \u00e1ltal megszabott kezel\u00e9si strat\u00e9gi\u00e1k \u00e1ttekint\u00e9s\u00e9t t\u0171zt\u00fck ki c\u00e9lul.\n                        <jats:italic>M\u00f3dszerek:<\/jats:italic> A Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z\n                    Mellkasseb\u00e9szeti Oszt\u00e1ly\u00e1n 2017. janu\u00e1r 1. \u00e9s 2021. december 31. k\u00f6z\u00f6tt\n                    haemothorax miatt kezelt betegek adatait retrospekt\u00edven elemezt\u00fck. A k\u00f3rh\u00e1z\n                    informatikai rendszer\u00e9nek adataib\u00f3l a haemothorax ok\u00e1t, a v\u00e1lasztott kezel\u00e9si\n                    m\u00f3dot, a kimenetelt (30 napos t\u00fal\u00e9l\u00e9s), az \u00e1pol\u00e1si napok sz\u00e1m\u00e1t \u00e9s a\n                    sz\u00f6v\u0151dm\u00e9nyeket vizsg\u00e1ltuk. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> 77 beteget kezelt\u00fcnk\n                    haemothorax miatt, 57 f\u00e9rfit, 20 n\u0151t. Betegeink \u00e1tlag\u00e9letkora 53,4 (23\u201390, SD:\n                    14,9) \u00e9v volt. M\u0171t\u00e9tet 31 esetben v\u00e9gezt\u00fcnk, 10 alkalommal t\u00f6rt\u00e9nt reoper\u00e1ci\u00f3.\n                    Kombin\u00e1lt m\u0171t\u00e9ti mellkasfali stabiliz\u00e1ci\u00f3 sor\u00e1n v\u00e9gzett haematomaevaku\u00e1ci\u00f3 7\n                    esetben v\u00e1lt sz\u00fcks\u00e9gess\u00e9. \u00c1pol\u00e1si napok sz\u00e1ma: 14 (2\u201379). 30 napos t\u00fal\u00e9l\u00e9s: 95%.\n                        <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Az els\u0151dleges ter\u00e1pi\u00e1s m\u00f3dszer a mell\u00fcregi\n                    dren\u00e1zs. Az invaz\u00edv radiol\u00f3gia biztos\u00edtotta digit\u00e1lis szubtrakci\u00f3s\n                    angiogr\u00e1fi\u00e1val (DSA) ez a m\u00f3dszer v\u00e1logatott esetekben kiv\u00e1lthatja a m\u0171t\u00e9ti\n                    felt\u00e1r\u00e1st. A minim\u00e1linvazivit\u00e1st prefer\u00e1l\u00f3 m\u0171t\u00e9ti reperto\u00e1rban a\n                    videotorakoszk\u00f3pos (VATS-) m\u0171t\u00e9t v\u00e1lik domin\u00e1nss\u00e1.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Ha a beteg \u00e1ltal\u00e1nos \u00e1llapota, a v\u00e9rz\u00e9s\n                    m\u00e9rt\u00e9ke engedi, \u00e9s el\u00e9rhet\u0151 a DSA, akkor a v\u00e9rz\u00e9scsillap\u00edt\u00e1sra a mellkasi\n                    dren\u00e1zst k\u00f6vet\u0151en ez alkalmas m\u00f3dszer. Mellkasi dren\u00e1zzsal dacol\u00f3 esetben a\n                    VATS-haematomaevaku\u00e1ci\u00f3 javallt. T\u00f6bbsz\u00f6r\u00f6s bordat\u00f6r\u00e9s k\u00f6vetkezt\u00e9ben kialakult\n                    instabil mellkast k\u00eds\u00e9r\u0151 v\u00e9rmell eset\u00e9n a mellkasfali stabiliz\u00e1ci\u00f3 \u00e9s a ki\u00fcr\u00edt\u00e9s\n                    kombin\u00e1land\u00f3. Oszt\u00e1lyunkon egyre nagyobb ar\u00e1nyban v\u00e9gz\u00fcnk VATS-ot a haemothorax\n                    kezel\u00e9s\u00e9ben. A minim\u00e1linvaz\u00edv ell\u00e1t\u00e1s az arra alkalmas betegekben biztons\u00e1gos,\n                    \u00e9s a v\u00e9geredm\u00e9nyt tekintve a nyitott thoracotomia el\u0151ny\u00f6s alternat\u00edv\u00e1ja. Orv\n                    Hetil. 2022; 163(43): 1727\u20131732.<\/jats:p>","DOI":"10.1556\/650.2022.32603","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T04:18:45Z","timestamp":1668831525000},"page":"1727-1732","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["A massz\u00edv haemothorax modern kezel\u00e9se"],"prefix":"10.1556","volume":"163","author":[{"given":"K\u00e1roly G\u00e1bor","family":"Szab\u00f3","sequence":"first","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Mellkasseb\u00e9szeti Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Mezei","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Mellkasseb\u00e9szeti Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Vincze","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Mellkasseb\u00e9szeti Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"No\u00e9mi","family":"J\u00f3n\u00e1s","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Seb\u00e9szeti Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imre","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Mellkasseb\u00e9szeti Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"1583","DOI":"10.1016\/j.rmed.2010.08.006","article-title":"Treatment of haemothorax","volume":"104","author":"1 Boersma","year":"2010","unstructured":"1 Boersma WG, Stigt JA, Smit HJ, et al. 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