在拉皮切割术后新生儿手术切口脱光的危险因素
Tina B S Miholjcic1,2, Olivier Baud2,3, Pouya Iranmanesh2,4
1Division of Child and Adolescent Surgery, Department of Pediatrics, Gynecology, and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
概括
新生儿手术伤口脱光 (SWD) 是一个严重的并发症. 这项研究发现早产和诸如产后类固醇暴露和通风持续时间等因素显著增加新生儿的SWD风险.
科学领域:
- 新生儿手术 新生儿手术
- 手术并发症 手术并发症
- 儿科重症监护 儿科重症监护
背景情况:
- 手术伤口脱光 (SWD) 是新生儿的一种危及生命的并发症.
- 识别SWD的风险因素对于改善这一弱势群体的结果至关重要.
研究的目的:
- 确定与新生儿术后切口分离相关的风险因素.
- 提供可以帮助识别和管理高风险婴儿的数据.
主要方法:
- 在2010年至2020年间进行了腹腔切除术的144名新生儿患者的回顾性分析.
- 纳入标准:满期或早产的新生儿至42周,调整的异常流血.
- 收集的数据包括患者的人口统计和外科手术期间的因素;SWD定义为伤口边缘分离.
主要成果:
- 在11%的患者中发生了SWD,早产新生儿 (22%) 的发病率明显高于满期新生儿 (4%).
- 确定的主要危险因素包括暴露于产后类固醇,长时间的侵入性通风,低的手术前血红蛋白和血小板计数,不可吸收的 sutures, ostomies,积极的伤口培养,和 relaparotomy.
- 在81%的SWD病例中存在死性肠球炎或肠孔.
结论:
- 过早出生是新生儿SWD的重要危险因素.
- 几个术后和患者特异性因素与增加的SWD风险有关.
- 这些发现可以帮助临床医生识别有风险的婴儿,并为家长咨询提供信息.
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