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在COVID-19的输管治疗后的喉喉外并发症:一个多中心研究
Estefanía Hernández-García1, Rosa Hernández-Sandemetrio2, Ana Quintana-Sanjuás3
1Department of Otorhinolaryngology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, 28042 Madrid, Spain.
Life (Basel, Switzerland)
|May 27, 2023
概括
在COVID-19患者中,延长的内内输管 (ETI) 导致严重的喉损伤,包括改变移动性和狭窄. 这些并发症影响了呼吸,声音和吞,突出了需要仔细管理ETI的必要性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- COVID-19经常导致呼吸困难,需要长时间的机械通风.
- 内管内输管 (ETI) 可以导致喉管并发症,影响重要功能.
- 在COVID-19患者中,喉后期ETI需要进一步调查.
研究的目的:
- 描述COVID-19患者内内输管 (ETI) 后诊断的喉损伤.
- 在多中心研究中分析喉并发症的发生率和类型.
- 为了确定与后ETI喉损伤相关的风险因素.
主要方法:
- 预期描述性观察性研究 (2021年1月至2021年12月).
- 在多家西班牙医院内包括COVID-19患者,因为ETI导致喉并发症.
- 对流行病学数据,并发病,输管/通风时间,气管切开率和病变类型的分析.
主要成果:
- 包括49名患者;44.9%接受了气管切除术,通常是延迟的.
- 平均ETI持续时间为17.63天.
- 常见的症状包括听力障碍 (87.8%),听力障碍 (42.9%) 和呼吸障碍 (34.7%).
- 最常见的损伤是喉运动变化 (79.6%).
- 狭窄与晚期ETI和延迟气管切除相关.
结论:
- 在COVID-19患者中延长的ETI,可能是由于前置协议,与喉后果增加有关.
- 变化的喉流动性和狭窄是ETI后的重大并发症.
- 研究结果强调了ETI持续时间对COVID-19后喉健康的影响.
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