婴儿和重症监护儿童的肺部活检
Yaël Levy1, Lauren Bitton2, Chiara Sileo3
1Pediatric and neonatal intensive care unit, Armand Trousseau Hospital, APHP, Sorbonne University, Paris, France.
Pediatric pulmonology
|January 2, 2024
概括
肺活检是疑似肺发育障碍的重症新生儿的可靠诊断工具. 并发症主要与体外膜氧化 (ECMO) 相关.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 肺部病理学 肺部病理学
- 诊断过程中的诊断程序.
背景情况:
- 肺活检是肺部疾病的侵入性诊断工具.
- 它在重症儿科患者的使用需要仔细考虑风险和益处.
研究的目的:
- 为了评估肺部活检在重症儿科患者的诊断产量.
- 评估不同年龄组的诊断可靠性.
- 在这个人群中确定与肺活检相关的并发症.
主要方法:
- 在1995年至2022年期间在ICU接受肺活检的儿科患者的回顾性评估.
- 排除在手术室和死后进行的活检.
- 对诊断产量的分析,根据年龄的可靠性和并发症率.
主要成果:
- 包括31名患者;67.7%是新生儿. 81%的活检产生了诊断结果.
- 新生儿的诊断可靠性最高 (95%),随着年龄的增长而下降.
- 扩散发育性肺部疾病 (49%) 是最常见的诊断. 29%的患者出现并发症,主要是ECMO患者的出血.
结论:
- 肺活检是疑似扩散发育性肺部疾病的重症新生儿的可靠诊断程序.
- 并发症与体外膜氧化 (ECMO) 有显著的关联.
- 需要进一步对特定子组 (例如,长期ECMO,老年儿童) 的并发症进行前性评估.
关键词:
儿童间歇性肺病 儿童间歇性肺病孩子们的孩子们的孩子们的孩子们.扩散性帕伦基马性肺部疾病身体外膜氧化氧化的情况.重症监护病房的重症监护病房是一个重症监护病房.间歇性肺病 间歇性肺病肺部活检 肺部活检更多相关视频
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