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血管环修复后空气消化系统症状的持续性
Doris Farje1, Ashley Young1, Eli Stein1
1Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
American journal of otolaryngology
|December 15, 2023
概括
血管环修复后持续的呼吸和吞问题很常见,影响超过30%的患者. 持续评估和量身定制的治疗对于管理这些儿童的长期结果至关重要.
科学领域:
- 儿科外科手术 儿科外科手术
- 进行心血管外科手术.
- 胸部外科手术 胸部外科手术
背景情况:
- 血管环在儿童中可能会导致严重的呼吸和吞问题,原因是气管和食道的压缩.
- 虽然血管环的手术修复通常产生了很好的结果,但关于呼吸道和食道重塑和症状持续性的长期结果没有得到充分的记录.
研究的目的:
- 为了评估长期的呼吸和吞结果,在血管环的手术修复后的儿童.
- 确定与血管环修复后持续症状相关的因素.
主要方法:
- 进行了一项回顾性队列研究,涉及108名儿童,他们在2010年至2022年期间接受了血管环修复.
- 收集的数据包括患者人口统计,血管环类型,诊断时间,术前症状和术后结果.
主要成果:
- 在1.48%的患者中观察到持续的呼吸道症状,在康复一年内,在27.78%的患者中观察到吞症状.
- 在14名患者中发现了残留性气管,其中只有2名患者需要气管切除术,大多数患者已从呼吸器支持中断.
- 双动脉与与右动脉相比,持续性呼吸道症状的发生率更高.
结论:
- 呼吸和吞症状经常在血管环修复后持续存在.
- 术后多学科评估和适当的管理对于解决残留症状至关重要.
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