气管切除术的新生儿的结果:单一中心体验
Ümit Ayşe Tandırcıoğlu1, Özge Doğan2, R Önder Günaydın3
1Division of Neonatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara.
The Turkish journal of pediatrics
|September 4, 2023
概括
新生儿的气管切除术,通常用于支气管肺形,如果机械通风支持仍然很高,可以在两个月内考虑. 这项研究研究了婴儿气管切除术的时间和并发症.
科学领域:
- 新生儿护理 新生儿护理
- 儿科外科手术 儿科外科手术
背景情况:
- 严重的支气管肺发育不良症 (BPD) 通常需要通过气管切除术进行家庭机械通风.
- 出生性呼吸道形也可能需要新生儿气管切除术.
- 早期的气管切除术可以预防与长时间内内管管道输入相关的并发症.
研究的目的:
- 确定新生儿气管切除术的最佳时间.
- 为了分析气管切除术的开关时间.
- 评估经过气管切除术的新生儿的并发症和人口因素.
主要方法:
- 从2014年1月到2019年,在新生儿重症监护室 (NICU) 接受气管切除术的婴儿进行了回顾性研究.
- 从医院记录中收集的数据.
- 临床试验.gov 标识符 NCT04497740.gov 临床试验
主要成果:
- 包括26名新生儿 (平均妊娠年龄为27.5周,出生体重为885克).
- 气管切除术的平均开口时间为54±24天 (PMA36±3周).
- 气管切除术平均关闭时间为387±164天.
- 早期的并发症包括意外脱 (8名患者,平均11±8天).
- 晚期并发症 (中位数为90天) 包括胃上缩 (7),气管皮质囊 (8),小肠狭窄 (5),吸入性肺炎 (2) 和颗粒组织 (2).
结论:
- 如果新生儿呼吸没有改善,并且需要高压,高氧机械通风,请考虑在两个月内进行气管切除术.
- 时间和并发症数据为新生儿气管切开术的临床决策提供了信息.
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