住院照顾COVID-19儿童的医院护理
Oi-Wa Chan1, En-Pei Lee1, Cheng-Che Chou2
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Chang Gung University College of Medicine, Taoyuan, Taiwan.
患有潜在疾病的儿童可能会患上严重的COVID-19疾病. 本综述详细介绍了儿科重症急性呼吸综合征冠状病毒2 (SARS-CoV-2) 感染的住院护理,包括呼吸支,ECMO和MIS-C.
科学领域:
- 儿童传染病 儿童传染病
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
背景情况:
- 虽然儿童通常会经历较轻微的COVID-19,但那些患有先前存在的疾病的人面临严重疾病的风险.
- 目前对严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 的研究主要集中在成人患者身上.
- 了解儿科COVID-19重症监护对于有效的流行病应对至关重要.
研究的目的:
- 为儿童COVID-19的医院内管理提供专家文献审查.
- 巩固有关SARS-CoV-2感染儿童重症监护干预措施的知识.
- 为了解决有关严重儿科COVID-19病例管理的知识差距.
主要方法:
- 关于儿科COVID-19重症监护的现有文献的全面审查.
- 专家建议和临床指南的综合.
- 专注于重症病例医院内管理的关键领域.
主要成果:
- 详细审查呼吸辅助策略,包括机械通风和体外膜氧化 (ECMO).
- 讨论儿童多系统炎症综合征 (MIS-C) 的诊断和管理.
- 血液动力学支持,器官支持和药物干预措施 (抗病毒药物,抗炎药物,抗血栓药物) 的概述.
结论:
- 儿童COVID-19的有效管理需要一个多学科的方法.
- 对呼吸衰竭,ECMO,MIS-C和器官支持的具体考虑至关重要.
- 需要进一步的研究来优化SARS-CoV-2感染的重症儿童的治疗方案.
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