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未经过筛选的患者在腹股沟疝修补术后即便出现术后发热仍早期出院。

Early discharge despite postoperative pyrexia after inguinal herniorrhaphy in unselected patients.

作者信息

Belham G J, Emery R J, Cheslyn-Curtis S, Ralphs D N

出版信息

Br J Surg. 1985 Dec;72(12):973-5. doi: 10.1002/bjs.1800721213.

Abstract

Although shown to be suitable for selected patients with subsequent community medical and social support early discharge from hospital after inguinal hernia repair is apparently not well established. The application of such a policy may also be inhibited by postoperative pyrexia even though the cause of this is not evident. We report a series of 103 unselected patients presenting consecutively to an inner London hospital for hernia repair in whom early discharge was proposed in 95 per cent and achieved in 79 per cent irrespective of clinically unaccountable postoperative pyrexia and without special community health provision. This discharge policy placed no additional burden on the community health services and did not affect adversely patients' welfare, satisfaction or time off work.

摘要

尽管腹股沟疝修补术后早期出院对部分有后续社区医疗和社会支持的特定患者显示是合适的,但显然尚未得到充分确立。即便术后发热的原因不明,这种政策的应用也可能会受到术后发热的抑制。我们报告了连续到伦敦市中心一家医院接受疝修补术的103例未经挑选的患者,其中95%的患者被建议早期出院,79%的患者实现了早期出院,无论术后有无无法解释的发热情况,且无需特殊的社区医疗服务。这种出院政策没有给社区卫生服务增加额外负担,也没有对患者的福利、满意度或误工时间产生不利影响。

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