在先天性心脏手术后,当前对耐火性胆胸部的实践
Gregory T Adamson1, Melissa M Winder2, Kirsti G Catton1
1Department of Pediatrics, Division of Pediatric Cardiology, Stanford University School of Medicine, Palo Alto, CA, USA.
Cardiology in the young
|December 11, 2023
概括
儿科心脏手术后耐火性胆胸部的管理有很大的差异. 大多数中心使用奥克胺或西尔德纳菲尔,手术胸管结合是常见的,但在此程序之前的诊断成像是不一致的.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 胸部外科手术 胸部外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 儿科心脏手术后的耐火性胆胸膜 presents一个重要的临床挑战.
- 在整个先天性心脏程序中,在管理耐火性胆胸部方面存在变化.
研究的目的:
- 对儿童心脏外科手术患者中耐火性胆胸部的管理现行实践进行调查.
- 识别医疗,手术和干预疗法的变化.
主要方法:
- 一个多中心的调查研究是由chylothorax工作组进行的.
- 来自17个先天性心脏中心的专家回应了他们对耐火性胆胸瘤的治疗策略.
主要成果:
- 最常见的药物是奥克 (76%) 和西尔代纳菲尔 (47%).
- 88%的中心进行了手术胸管绑定,53%的 pleurodesis 和 47%的皮肤淋巴干预.
- 在胸管绑定之前的淋巴成像诊断不一致 (47%).
结论:
- 在学术心脏中心之间,在治疗耐火性手术后胸中存在显著的变异性.
- 图像引导的淋巴干预并没有广泛取代传统的方法,如手术胸腔管绑定或肺.
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