我们对因气管狭窄症需要重症监护的患者的临床经验:回顾性病例对照研究
Umit Murat Parpucu1, Semih Aydemir2
1Anesthesiology and Reanimation, Gulhane Faculty of Medicine - University of Health Sciences, Ankara, TUR.
Cureus
|October 2, 2023
概括
分析了接受ICU治疗的气管狭窄症 (TS) 患者. 气管切除术后气管狭窄症 (PTTS) 患者的治疗结果较差,但ICU中的干预性肺科手术对这两组患者都是拯救生命的.
科学领域:
- 肺部病理学 肺部病理学
- 密集护理医学 密集护理医学
- 医疗工程 医学工程
背景情况:
- 气管狭窄症 (TS) 的严重程度各不相同,从无症状病例到急性呼吸衰竭,需要进入重症监护室 (ICU).
- 了解ICU中TS患者的临床特征,管理策略和结果对于优化患者护理至关重要.
研究的目的:
- 评估入住ICU的气管狭窄症患者的临床特征,管理和结果.
- 为了在ICU环境中比较术后气管狭窄症 (PITS) 和术后气管狭窄症 (PTTS) 患者的临床形状和治疗反应.
主要方法:
- 在2015年1月1日至2016年1月1日期间入院ICU的20名气管狭窄症患者的回顾性分析.
- 患者被分为输管后气管狭窄症 (PITS) 和气管静止术后气管狭窄症 (PTTS) 组.
- 两个组之间的人口统计数据,严重程度得分 (APACHE II,SOFA),狭窄的原因,管理干预措施和ICU结果的比较.
主要成果:
- 15名患者患有PITS,5名患者患有PTTS. 与PITS患者相比,PTTS患者的BMI较低,APACHE II和SOFA分数较高.
- 狭窄的位置有所不同,PITS主要是下喉/上气管,PTTS仅限于上气管.
- 机械扩张是普遍的;冷治疗在66.7%的PITS患者中使用,而支架在PTTS (80%) 患者中比PITS (20%) 患者更常见. 在66.7%的PITS和60%的PTTS患者中,干预后避免了机械通风.
结论:
- 气管静止术后的气管狭窄症患者通常与输管后的气管狭窄症患者相比出现更严重的疾病.
- 在ICU环境中进行的干预性肺科手术对于气管狭窄症患者来说,无论最初的原因如何,都可以挽救生命.
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