肺移植后心房节律失常:一个儿科中心的经验
Jordan Sill1, Shankar Baskar1,2, Huaiyu Zang1
1Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Frontiers in pediatrics
|July 10, 2023
概括
大心律不整 (AA) 发生在15%的儿科肺移植 (LTx) 接受者中,主要是年长的儿童,在手术后10天内. 早期治疗AA并没有对结果产生负面影响.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 胸部外科手术 胸部外科手术
- 移植医学 移植医学 移植医学
背景情况:
- 儿科肺移植 (LTx) 后的结果正在改善.
- 大心律失常 (AA) 是已知的成人LTx并发症,但对儿科接受者的数据有限.
研究的目的:
- 描述儿科LTx接受者的AA的发生和管理.
- 调查AA对儿童LTx后结果的影响.
主要方法:
- 从2014-2022年对儿科LTx接受者的回顾性分析.
- 调查AA的时间,管理和对结果的影响.
主要成果:
- 15% (3/19) 的儿科LTx接受者发展了AA,发生在LTx后9-10天.
- 只有在年长的儿童 (>12岁) 中观察到AA.
- AA没有对住院时间或短期死亡率产生负面影响;患者在接受治疗后出院,在6个月后停止治疗,没有复发.
结论:
- AA是老儿科和年轻成人LTx接受者的早期术后并发症.
- 早期识别和积极管理AA可以减轻发病率和死亡率.
- 需要进一步的研究来确定该人群中AA的风险因素,以指导预防策略.
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