小儿气道压缩在大动脉形形:一个多学科的方法
Francesca Petreschi1, Antonella Coretti1, Federica Porcaro1
1Pediatric Pulmonology and Cystic Fibrosis Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Frontiers in pediatrics
|August 7, 2023
概括
在儿童中,大动脉形形 (AAMs) 经常出现呼吸问题. 管理策略有所不同,在严重病例中使用手术,而保守的方法适合较温和的情况.
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
- 医学诊断 医学诊断 医学诊断
背景情况:
- 大动脉形缺陷 (AAMs) 需要临床怀疑儿科患者持续呼吸症状或食困难.
- 早期识别对于及时干预和改善结果至关重要.
研究的目的:
- 描述一组被诊断患有AAMs的患者.
- 评估AAMs的本地管理协议的有效性.
- 分析不同类型的AAM及其相关症状.
主要方法:
- 对59名被诊断患有AAMs的患者进行了回顾性审查.
- 将其分为三组:双大动脉门 (DAA),完整的血管环 (非DAA) 和无名动脉 (IA) 的异常起源.
- 对临床表现,诊断方法和治疗结果的分析.
主要成果:
- 在62.7%的病例中,产前诊断得到了成功.
- 近一半 (49.2%) 的儿童出现了症状.
- 呼吸系统症状在不同组之间有显著差异 (73.7%在DAA中,24.2%在非DAA中,100%在IA中).
- 在52.5%的患者中进行了手术修复,术后观察到症状改善.
结论:
- 目前用于AAM的管理协议缺乏标准化.
- 对于无症状患者或呼吸道狭窄率低于50%的患者,保守的治疗是可行的.
- 密切的患者随访对于早期发现症状进展至关重要.
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