大型儿科烧伤中的血栓发生率
Ashlee Kimball1, Edward Gibson1, Linda Quinn1
1Burns Service, Women's and Children's Health Network, North Adelaide, South Australia, Australia.
ANZ journal of surgery
|September 8, 2023
概括
儿童严重烧伤显著增加血栓形成的风险,特别是广泛的烧伤和中央静脉导管 (CVCs). 针对性血栓预防可能是必要的,以预防这些脆弱的患者.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 烧伤管理 烧伤管理
- 血栓形成和血液静止.
背景情况:
- 严重烧伤在儿童中具有独特的血栓形成风险,与成年人不同.
- 缺乏关于小儿烧伤患者血栓预防的指导方针.
- 调查主要儿科烧伤中的血栓形成风险因素至关重要.
研究的目的:
- 为了检查重症儿科烧伤中血栓事件的发生率.
- 在这个人群中识别与血栓形成相关的危险因素.
- 为制定预防指南提供信息.
主要方法:
- 儿科烧伤患者的回顾性队列研究,总体表面积 (TBSA) % ≥30%.
- 从阿德莱德妇女和儿童医院收集了超过16年的数据.
- 涉及对编码数据,本地烧伤数据库和案件档案的审查.
主要成果:
- 在23名患者中,有6名 (26%) 患有血栓事件.
- 血栓事件与严重烧伤有很强的关联 (平均68.5%的TBSA).
- 大多数事件 (5/6) 与中央静脉导管 (CVC) 有关,其中有一个是深静脉血栓塞 (DVT).
结论:
- 在主要儿科烧伤中观察到大量的血栓事件发生率.
- 大比例的TBSA和CVC是血栓形成的关键风险因素.
- 对于重症儿科烧伤患者,建议进行查和向性血栓预防.
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