低收入和中等收入国家的直肠形-频谱,负担和管理
Shilpa Sharma1, Dennis Mazingi2, Sharif Imam3
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Seminars in pediatric surgery
|November 21, 2023
概括
由于社会经济因素,低收入国家的直肠形管理存在独特的挑战,往往导致诊断延迟和并发症增加. 本文探讨了在资源有限的环境中成功治疗的这些挑战和适应方法.
科学领域:
- 儿科手术 儿科手术
- 全球健康 全球健康
- 遗传异常是一种先天性异常.
背景情况:
- 阳肠形 (ARM) 是一种先天性异常,其临床表现和管理方案得到了充分记录.
- 然而,低收入和中等收入国家 (LMICs) 的经验受到独特的社会,文化和经济因素的重大影响.
- 这些因素往往导致ARM病例的延迟呈现和管理.
研究的目的:
- 从全球手术角度探索直肠形的范围.
- 概述在资源有限的环境中面临的具体负担和挑战.
- 讨论适应的管理策略,以在LMICs取得成功的结果.
主要方法:
- 对LMIC中直肠形现有文献的综述.
- 分析社会经济因素对临床表现和管理的影响.
- 对ARM治疗应用的全球手术原理的探索.
主要成果:
- 延迟诊断在LMIC中很常见,通常与败血症和急救复苏需求增加有关.
- 由于资源有限,需要修改手术和术后护理方案.
- 管理中的调整旨在缓解增加的发病率和死亡率.
结论:
- 在LMICs中成功管理直肠形需要考虑当地约束的量身定制方法.
- 全球外科手术倡议对于改善资源有限的环境中的结果至关重要.
- 解决社会经济障碍对于及时诊断和有效治疗ARM至关重要.
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