在第三级和社区中心初步治疗后,持续的儿科乳腺
Derek R Marlor1, Kayla B Briggs1, Shai Stewart1
1Department of Surgery, Children's Mercy Kansas City, Kansas City, Missouri.
The Journal of surgical research
|August 18, 2023
概括
在初始治疗后持续存在的儿科乳腺可以通过进一步的抗生素或侵入性手术有效地管理. 当在第三级护理中心接受治疗时,结果类似,最大限度地减少对正在发展的乳腺芽的损害.
科学领域:
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
- 乳腺健康 乳腺健康
背景情况:
- 关于对初始治疗没有反应的儿科乳腺的管理,数据有限.
- 这项研究解决了在这种情况下需要基于证据的策略的需求.
研究的目的:
- 评估和报告初始治疗失败的乳腺的儿科患者的结果.
- 为了比较最初在机构和转诊中心接受治疗的患者之间的治疗方式和患者特征.
主要方法:
- 2008-2018年为乳腺腹治疗的儿科患者 (<18岁) 的回顾性审查.
- 患者被分为两组:在我们的机构进行初始治疗 (第一组) 和在转诊中心进行初始治疗 (第二组).
- 主要结局是我们机构治疗后的疾病持续性;次要结局包括治疗类型和患者人口统计学.
主要成果:
- 分析了145名患者 (111名在第一组,34名在第二组).
- 侵入性治疗在第一组 (45.9%) 与第二组 (5.8%) 相比明显更常见.
- 在我们机构接受治疗后,持续性疾病的发病率在两组之间相似 (12.6%对11.8%),第二组患者更有可能接受抗生素治疗持续性疾病.
结论:
- 持续的儿科乳腺可以在某些情况下有效地用抗生素治疗.
- 在治疗期间,最大限度地减少对正在发展的乳腺的损伤至关重要.
- 当患者在第三级护理中心接受最终治疗时,疾病持久率是可比的.
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