儿科传染性动脉瘤:个人患者对表现,治疗和结果的综合分析
Ali Alawieh1, Youssef M Zohdy1, Rim El Annan1
1Department of Neurosurgery, Emory University, Atlanta, Georgia, USA.
Journal of neurointerventional surgery
|January 3, 2024
概括
感染性内动脉瘤 (IIA) 在儿童中很少见,通常与感染性内心炎有关. 早期干预对于破裂的IIA至关重要,因为医疗管理的失败率很高.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
背景情况:
- 传染性内动脉瘤 (IIA) 是罕见的,通常源于传染性内心炎 (IE).
- 关于儿科IIA管理的数据有限,尽管IE查增加了.
- 这项研究分析了儿科IIA病例中的疾病景观.
研究的目的:
- 研究小儿传染性内动脉瘤的表现,治疗和结果.
- 确定儿科IIA中破裂和死亡率的预测因素.
主要方法:
- 1960-2023年出版的儿科IIA病例 (0-18岁) 的综合分析.
- 包括标准要求手稿报告至少一个儿科IIA病例.
主要成果:
- 分析了145名患有178例IIA的儿科患者.
- 破裂发生在68%的病例中,后部位置和IE史预测破裂.
- 医疗管理在82%的不破裂的IAI中取得了成功,但在破裂的IAI中只有26%. 90天死亡率为28%.
结论:
- 儿科IIA是一种罕见但严重的感染并发症.
- 没有破裂的IAI对医疗管理做出了很好的反应.
- 破裂的IIA需要早期手术或内血管干预,因为医疗管理失败率很高.
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