通过灵活的支气管镜在患有气管支气管阻塞的儿童中进行冷提取
Brittany A Truitt1, Ajay S Kasi1, Pradip P Kamat2
1Division of Pediatric Pulmonology, Department of Pediatrics, Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Pediatric pulmonology
|June 23, 2023
概括
灵活的支气管透视冷提取有效地治疗严重疾病儿童的呼吸道阻塞,包括那些体外膜氧化 (ECMO) 的儿童. 这一程序在所有患者中恢复了呼吸道的通透性,对一些患者来说有助于ECMO脱.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
背景情况:
- 通过灵活支气管镜 (FB) 进行冷抽取是缓解呼吸道阻塞的已知方法.
- 它对重症儿童的效用,特别是那些体外膜氧化 (ECMO) 儿童的效用,记录较少.
- 这项研究旨在描述通过FB进行冷提取的儿科患者的临床过程和结果.
研究的目的:
- 通过灵活的支气管镜检查重症儿童的冷提取的有效性.
- 为了评估患有耐火性气管支气管阻塞的儿科患者的结果.
- 确定冷提取在促进从ECMO中释放的作用.
主要方法:
- 进行了一个单一中心的回顾性审查.
- 分析了2017年至2021年期间通过FB进行冷提取的11名儿科患者 (3-17岁) 的数据.
- 包括数据:诊断,适应症,呼吸辅助 (ECMO/CMV),成像和结果.
主要成果:
- 11名患者接受了33次冷抽取,以治疗因血栓,粘液塞或塑性支气管炎引起的气道阻塞.
- 9名患者接受ECMO治疗,2名患者接受传统机械通风 (CMV) 治疗.
- 所有患者都实现了部分或完全的呼吸道通透性恢复;五人从ECMO中脱. 四人死于严重疾病.
结论:
- 通过柔性支气管镜进行冷抽取是重症儿童耐火性气管支气管阻塞的有效干预措施.
- 该程序可以恢复通风通道的通透性,并促进ECMO释放.
- 在儿科重症监护机构中,它是管理复杂的呼吸道问题的宝贵工具.
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