心脏手术后的超声波查显示了声损伤,并预测了吸气
Jennifer M Siu1, Jessica Colyer2, Cassie Horner2
1Division of Otolaryngology-Head & Neck Surgery, Seattle Children's Hospital, Seattle, Washington, U.S.A.
The Laryngoscope
|August 24, 2023
概括
全球喉超声波 (LUS) 准确地识别高风险心脏手术后的声运动障碍 (VFMI). 这种查可以帮助更早地检测出吸血,有可能改善儿科患者的吞结果.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 喉超声波是一种超声波.
- 吞障碍 吞障碍 吞障碍
背景情况:
- 声运动障碍 (VFMI) 是高风险心脏手术后的一种已知的并发症.
- 早期识别VFMI对于管理相关的吞困难至关重要.
研究的目的:
- 在接受诺伍德或大动脉门手术的儿科患者中实施和评估VFMI的全方位喉超声波 (LUS) 查协议.
- 评估LUS在识别VFMI中的准确性及其与术后渴望的相关性.
主要方法:
- 使用LUS选算法应用于接受高风险心脏手术的患者.
- 阳性LUS发现的患者进一步通过柔性鼻喉镜 (FNL) 和视频光镜吞研究 (VFSS) 进行了评估.
- 分析了人口统计数据,停留时间和吞结果.
主要成果:
- 在67名患者中,LUS在58.21%的患者中确定了VFMI,FNL通过100%的确认.
- 患有VFMI的患者在VFSS上显示出明显更高的吸入率和透率 (53.8%对21.4%,p=0.008).
- 在患有VFMI和没有VFMI的患者之间,没有观察到停留时间的显著差异.
结论:
- 全球LUS查有效地识别高风险心脏手术后的VFMI.
- 早期检测VFMI和通过LUS的愿望可以促进及时干预.
- 这种方法有可能改善受影响的儿科患者的吞结果.
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