儿童对外体的渴望-回顾性研究和管理新奇事项
Dana Elena Mîndru1,2, Gabriela Păduraru1,2, Carmen Daniela Rusu1
1Department of Mother and Child Medicine, University of Medicine and Pharmacy "Gr.T.Popa", 700115 Iasi, Romania.
Medicina (Kaunas, Lithuania)
|June 28, 2023
概括
儿童的异物吸收 (FBA) 是很常见的,经常出现咳和呼吸障碍. 1-3岁的农村儿童最受影响,突出了社会经济因素和不适当的食物消费造成的风险.
科学领域:
- 儿科急救医学 儿科急救医学
- 肺部病理学 肺部病理学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 异物吸收 (FBA) 是一个常见的儿科诊断.
- 临床表现包括突然咳,呼吸困难和喘息,通常需要通过评分系统进行差异诊断.
- 刚性支气管检查是黄金标准的治疗方法,但存在风险,如呼吸道胀和麻醉后的并发症.
研究的目的:
- 分析儿童外体吸收的发病率,人口统计和促成因素.
- 确定与FBA相关的关键临床和放射学发现.
- 评估FBA管理中的挑战,特别是与辐射发光的外体.
主要方法:
- 追溯研究分析了242名被诊断患有FBA的儿科患者 (0-16岁) 的医疗档案.
- 从2010年1月到2018年1月收集的数据在儿童急诊临床医院"Sfânta Maria" Iași.
- 包括来自患者观察表的临床和成像数据.
主要成果:
- 在农村儿童 (70%) 和1-3岁年龄组 (79%) 中观察到FBA的最高发病率.
- 导致紧急住院的主要症状是咳 (33%) 和呼吸障碍 (22%).
- 社会经济地位,家长监督不足和不适合年龄的食物消费被确定为重要因素.
结论:
- 异物吸收是一种重要的儿科紧急情况,具有潜在的严重临床表现.
- 结合临床和放射学数据的评分算法有助于确定支气管镜检查的必要性.
- 对于无症状/轻度症状病例以及涉及放射性外体的病例,管理方面的挑战仍然存在.
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