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小児 患者 の ため の 凍傷 治療 ガイドライン
Jennifer M Schuh1, Emmanuel L Abebrese1, Zachary Morrison1
1Medical College of Wisconsin, Department of Surgery, Division of Pediatric Surgery, Milwaukee, WI, United States.
まとめ
新しいガイドラインは 凍傷の治療を標準化しています 組織プラズミノゲン活性化剤の血栓解剖を含むこの多学科的アプローチの実施により,重度の凍傷症例における截肢率が低下しました.
科学分野:
- 小児重症治療薬
- 緊急医療
- 小児外科
背景:
- 大人の凍傷の治療には 既定のガイドラインがあります
- 標準化された治療プロトコルは 幼児の凍傷に欠けている.
- 小児科のケアを最適化するには 多分野間のコンセンサスが不可欠です
研究 の 目的:
- 小児の凍傷管理のための新しい,学際的なコンセンサスガイドラインを記述します.
- このガイドラインで治療された症例を小児病院で検討する.
- 小児の凍傷治療の選択肢を評価するための枠組みを確立する.
主な方法:
- 2019年における多学科コンセンサスガイドラインの策定と適用
- 小児の凍傷症例の遡及レビュー (2012-2024年)
- 人口統計データ,怪我の重さ,入院,治療結果の分析
主要な成果:
- 凍傷を患った小児患者72人を対象とした.
- 大半の患者 (69) は,傷の治療のみで行われました.
- 3度目の凍傷患者のうち2人は,ガイドライン前の1人の患者とは異なり,血栓解剖を避けました.
結論:
- 多学科間のコンセンサスガイドラインは,小児の凍傷管理のための貴重な枠組みを提供します.
- ガイドラインに沿った時宜の血栓解剖は,重度の小児凍傷で切断を防ぐことができます.
- 標準化されたプロトコルは 小児の凍傷症例の改善に不可欠です
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