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在儿科重症监护病房的输液后气道损伤
Otilia E Blain1, Celeste C Patiño González1, Enrique J Romero Manteola1
1Pediatric Surgery Department, Hospital de Niños de la Santísima Trinidad, Córdoba, Argentina.
Acta otorrinolaringologica espanola
|June 17, 2023
概括
由于内内管道输入 (ETI) 的儿科气道损伤发生在3%的病例中. 年轻的年龄和长时间的输入管是危险因素,输出管失败和伤害表明伤害.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 关键护理医学 关键护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 气道损伤是儿科重症监护室内内肠道输管 (ETI) 的常见并发症.
- 了解与ETI相关的气道损伤的发生率和诱导因素对于改善患者的治疗结果至关重要.
研究的目的:
- 确定儿童患者需要ETI的呼吸道损伤的发生率和诱导因素.
- 评估这个人群中呼吸道内镜和气管切除术的指标和率.
主要方法:
- 一个回顾性,观察性,描述性的研究.
- 从2015年5月到2019年4月,评估了1854名在第三级护理PICU中输管的患者.
主要成果:
- 与ETI相关的气道损伤的发生率为3%.
- 年龄较小 (<27个月) 和输管时间长 (>7天) 是显著的诱导因素.
- 输出失败和度强烈与呼吸道损伤相关 (p<0.001).
结论:
- 在PICU中,与ETI相关的气道损伤的发生率为3%.
- 早期识别风险因素,如年轻年龄和长时间的输管治疗,可以帮助预防.
- 呼吸道内镜检查显示出输出失败和流,暗示潜在的损伤.
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