在发展中国家的环境下,单个外科医生修复骨髓瘤的案例系列:挑战和经验教训
Denver Naicker1, Keletso Leola2, Mlamuli Mzamo Mkhaliphi2
1Department of Neurosurgery, Chris Hani Baragwanath Academic Hospital, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
在资源较低的环境中,快速手术修复骨髓髓结核 (MMC) 是具有挑战性的. 一个LMIC的积极方法没有达到72小时的目标,但显著减少了修复时间,改善了MMC新生儿的结果.
科学领域:
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
- 在LMIC的公共卫生.
背景情况:
- 神经管缺陷 (NTDs) 是显著的出生形,其中骨髓瘤 (MMC) 是最严重的.
- 建议在出生后72小时内进行MMC的最佳手术修复.
- 低收入和中等收入国家 (LMIC) 的资源限制通常会阻碍及时的MMC修复,并导致更差的结果.
研究的目的:
- 评估在LMIC环境中实现MMC新生儿72小时外科修复的可行性.
- 评估主动方法对减少MMC维修时间的影响.
主要方法:
- 一项前性研究,包括在2014年1月至2015年8月期间为所有被提及的新生儿加快MMC修复的协调努力.
- 新生儿科医生和神经外科医生之间的合作,以确保立即转诊和迅速的外科干预.
- 对婴儿特征和结果的医院记录的审查,重点是修复时间.
主要成果:
- 24名患有MMC的新生儿接受了手术修复.
- 平均修复时间为13.6天,其中21%在72小时内修复.
- 在该机构出生的新生儿的平均修复时间为10.5天,而来自外部的新生儿的平均修复时间为17.3天.
结论:
- 尽管采取了积极的策略,但在这个LMIC环境中,MMC的72小时修复目标并未始终实现.
- 推迟转诊,外部医院转诊和手术室可用性等因素导致了延迟.
- 为了最大限度地减少维修时间,即使不符合72小时的标准,也在共同努力下,与以前来自类似环境的报道相比,维修时间显著缩短,突出了此类举措的好处以及解决医疗保健系统限制的必要性.
更多相关视频
05:17Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
Published on: February 9, 2024
04:33Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
Published on: November 8, 2024
相关概念视频
Bone Remodeling
Stem Cell Therapy for Tissue Regeneration
Types of Stem Cells used in Stem Cell Therapy
The two main cell types that...
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bone Marrow Sampling and Transplants
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
Tissue Transplantation
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
