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从医疗重症监护病房发展下喉和气管狭窄症的危险因素
Robin B Pappal1, Clayton Prakash Burruss1, Michael A Witt1
1Department of Otolaryngology-Head and Neck Surgery University of Kentucky Lexington Kentucky USA.
Laryngoscope investigative otolaryngology
|June 21, 2023
概括
内腔管道输管可以导致呼吸道并发症,如下肠狭窄症 (SGS) 和气管狭窄症 (TS). 气管切除术,支气管镜检查,COPD和GERD被确定为发展这些疾病的重要风险因素.
科学领域:
- 医疗重症监护的医疗重症监护
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
背景情况:
- 内腔管道输入是医疗重症监护室 (MICU) 的常见手术.
- 这种手术存在风险,包括下狭窄症 (SGS) 和气管狭窄症 (TS).
- 识别风险因素对于预防呼吸道并发症至关重要.
研究的目的:
- 综合评估SGS和TS的潜在风险因素在内内管注射后的患者.
- 分析各种患者特征,手术和药物与气道狭窄发展之间的关联.
主要方法:
- 从2013年至2019年,在MICU内输管的6603名患者的回顾性分析.
- 在MICU入院一年内诊断出SGS或TS的136名患者的鉴定.
- 后勤回归分析将病例与匹配的对照进行比较,考虑并发症,手术和药物.
主要成果:
- SGS或TS与气管切除术和支气管镜检查相关.
- 慢性阻塞性肺病 (COPD),目前的烟草使用和胃食道逆流症 (GERD) 是显著的危险因素.
- 系统性红斑狼,肺炎,支气管炎和特定药物类别也与呼吸道狭窄有关.
结论:
- 一些条件,程序和药物增加了SGS和TS在输管后发展的风险.
- 了解这些风险因素可以指导重症监护机构的预防策略.
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