避免先天性腹壁缺陷的高压腹部闭合 - - 进一步改善结果的一步
Raluca-Alina Mocanu1,2, Cătălin Cîrstoveanu3,4, Mihaela Bizubac3,4
1Doctoral School of "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Children (Basel, Switzerland)
|August 26, 2023
概括
胃和腹腔的手术修复旨在在不增加腹内压力的情况下关闭腹部. 监测这种压力可以预防新生儿的腹腔综合征.
科学领域:
- 儿科手术 儿科手术
- 新生儿重症监护中心
- 腹壁缺陷 腹壁缺陷 腹壁缺陷
背景情况:
- 手术修复胃和腹腔在管理腹腔内压力方面存在挑战.
- 增加的腹腔内压力可能会导致有害影响,包括腹腔综合征.
研究的目的:
- 为了评估手术后腹腔综合征发生率,新生儿接受手术修复的胃和腹腔.
- 评估腹腔内压力监测在预防腹腔综合征方面的有效性.
主要方法:
- 从2011年1月到2021年6月,对47名患有胃和脑病的患者进行了回顾性研究.
- 对手术后腹部部位综合征发展的分析,与初级关闭相比分阶段关闭.
- 实施跨膀测量腹内压力.
主要成果:
- 47名患者中有6名 (12.8%) 出现了腹部部位综合征的临床症状.
- 五个病例与主要腹部关闭有关,一个病例使用聚乙烯补丁分阶段关闭.
- 在实施10 mmHg值的跨膀压力监测后,没有患者出现腹腔综合征.
结论:
- 腹腔内压的跨膀测量是治疗先天性腹壁缺陷的宝贵工具.
- 在腹部关闭期间保持腹腔内压力低于10mmHg,可以预防腹部部位综合征.
- 进一步的研究和腹腔内压力监测的实施可以改善新生儿患有胃和腹腔的结果.
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