在重量小于2000克的新生儿中,大动脉缩修复后的结果
Victoria Butler1, Zahra Belhadjer2, Régis Gaudin3
1Assistance Publique-Hôpitaux de Paris, Port-Royal Maternity, Neonatal Intensive Care Unit, 123 Boulevard de Port-Royal, 75014 Paris, France; Paris Cité University, Paris, France.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
|September 14, 2023
概括
推迟对患有大动脉缩的低出生体重婴儿进行手术并不能降低缩风险. 早期修复至关重要,以尽量减少这些脆弱的先天性心脏病患者的早产并发症.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 新生儿手术 新生儿手术
背景情况:
- 在患有先天性心脏病 (CHD) 的婴儿中,早产很常见.
- 对于患有大动脉缩的低出生体重婴儿的治疗方法和结果尚不清楚.
- 为增加体重而推迟的手术是常见的,其目的是改善死亡率并降低缩风险.
研究的目的:
- 评估手术时间对接受大动脉缩修复的低出生体重婴儿的结果的影响.
- 为了分析出生体重和重产率之间的关系.
- 评估这个群体中早产相关并发症的发生率.
主要方法:
- 对体重小于2000克的婴儿进行了大动脉缩修复的回顾性研究 (2017年1月至2020年12月).
- 分析基线特征,医疗/外科管理和结果 (缩,死亡,早产并发症).
主要成果:
- 15名婴儿在15天的中位年龄和1585克的体重下接受了缩修复.
- 出生体重<1200克的婴儿后来进行了手术,但与出生体重>1200克的婴儿相比,他们有相似的再切割率 (26.6%).
- 在<1200克的婴儿中,支气管肺形 (40%),腹腔内出血 (40%) 和早产视网膜病变 (27%) 的患病率更高.
结论:
- 由于体重增加而延迟大动脉缩修复超过15天并不会降低缩风险.
- 延迟手术可能会增加对低出生体重婴儿早产并发症的暴露.
- 对于这些高风险的婴儿,应考虑早期手术干预.
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