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儿科气管切除术中的外围胃周皮质颗粒:发生率,结果和拟议的治疗算法
Luai Kawar1, Emma Clark2, Haytham Kubba2
1University College Hospital, 235 Euston Road, London NW1 2BU, England, UK.
International journal of pediatric otorhinolaryngology
|December 26, 2023
概括
在儿童中,气管切除术后的外部周胃颗粒是常见的. 建议局部抗微生物药物作为第一线治疗静脉位颗粒化,复发率较低但分辨时间较长.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 伤口管理 伤口管理
- 气管切除术护理 护理
背景情况:
- 外部周胃颗粒是小儿气管切除术后的常见并发症.
- 这种情况可能会阻碍常规的气管切除管变化.
- 这项研究是第一个详细介绍儿科围胃颗粒的发生率,结果和治疗的研究.
研究的目的:
- 描述小儿气管切开术患者外围腹腔颗粒的发生率和结果.
- 为管理这种常见并发症提出治疗算法.
主要方法:
- 格拉斯哥皇家儿童医院的儿科气管切除术患者的回顾性审查 (2020年1月 - 2022年5月).
- 收集的数据包括颗粒的存在,发病,解决,复发和治疗方式.
- 所有患者都使用了气管管.
主要成果:
- 在27名儿童中 (52%) 发生了50次围胃颗粒发作.
- 年幼的孩子经历了更频繁的颗粒化.
- 局部类固醇/抗微生物药膏单疗法显示较长的分辨时间,但最初使用时的复发率较低.
结论:
- 推非侵入性治疗,如局部抗微生物药物,作为静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉.
- 更多的侵入性干预措施 (银酸盐烧结,外科切除) 应保留给耐火病例或当颗粒化损害管变化时.
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