[在重症儿童中排气后上呼吸道阻塞的预测因素]
Julia Inés Simonassi1, María Tatiana Canzobre1
1Hospital Nacional de Pediatría Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina.
Andes pediatrica : revista Chilena de pediatria
|October 31, 2023
概括
输出管后上呼吸道阻塞影响了儿童重症监护室中25%的儿童. 婴儿和那些在机械通风3天或更短的人面临更高的风险.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统医学 呼吸系统医学
- 重症监护室的重症监护室是重症监护室的重症监护室.
背景情况:
- 输出管后上呼吸道阻塞是儿科重症监护中的一个重要并发症.
- 它可以导致输出失败,并对重症儿童产生不良后果.
研究的目的:
- 为了确定在重症儿童中排泄后上呼吸道阻塞的发生率.
- 确定与这种并发症相关的独立风险因素.
主要方法:
- 在儿科重症监护病房进行了一项前性,描述性和观察性研究.
- 包括1个月以上和18岁以下的儿童,接受机械呼吸器支持超过24小时.
- 在两年内收集了数据,包括患者人口统计数据,入院原因和通风参数.
主要成果:
- 输出管后上呼吸道阻塞的发生率为25% (在260名患者中65名).
- 确定的独立风险因素是24个月或更年轻的年龄和机械通风持续时间为3天或更短.
- 在41.5%的受影响患者中发生了输出管失败,而7.7%的患者需要进行气管切除术.
结论:
- 输出管后上呼吸道阻塞是儿科重症监护病房中常见的情况.
- 年龄较小 (≤24个月) 和机械通风持续时间较短 (≤3天) 是重要的独立风险因素.
- 这些发现凸显了对危险儿科患者的警监测和有针对性的干预措施的需要.
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