在早产婴儿的阳性食道穿孔:来自波兰的多中心回顾性研究
Aleksandra Mikołajczak1, Katarzyna Kufel2, Joanna Żytyńska-Daniluk3
1Neonatal Department, Collegium Medicum of Cardinal Stefan Wyszynski University, 01-938 Warsaw, Poland.
Children (Basel, Switzerland)
|August 26, 2023
概括
在早产婴儿中,阳性食道穿孔 (EP) 是一个严重的风险. 这项研究发现空气泄漏是EP婴儿中唯一显著的差异,并确定了与穿孔相关的三种常见的鼻胃管位置.
科学领域:
- 新生儿医学 新生儿医学
- 儿科手术 儿科手术
- 放射学 放射学是一门学科.
背景情况:
- 阳性食道穿孔 (EP) 是一种罕见但严重的并发症,在非常低出生体重 (VLBW) 的早产婴儿.
- 早期识别和了解EP对于缓解长期病情至关重要.
研究的目的:
- 为了研究VLBW早产婴儿的阳性EP.
- 为了分析口胃/鼻胃管放置的放射性后果.
- 为了探索组织学膜炎和EP之间的关联.
主要方法:
- 对1149名VLBW早产婴儿 (2009-2016) 的回顾性分析.
- 在带有和没有EP的婴儿之间比较死亡率和发病率.
- 鼻胃管 (NGT) 位置的放射评估和胎盘组织病理学的分析.
主要成果:
- 在EP和非EP组之间,在组织病理性胆膜炎中没有统计学上显著的差异.
- 空气泄漏是两组之间唯一具有统计学意义的差异 (p=0.01).
- 确定了三个常见的NGTX射线位置:高 (下),腹内和右.
结论:
- 空气泄漏是早产婴儿潜在的阴性食道穿孔的一个关键指标.
- 放射学上的特定NGT错位与EP相关.
- 对这些放射性发现和相关症状的认识可以帮助早期诊断和管理EP.
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