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在儿科患者群体中进行皮革气管切除术:系统性审查
Amirpouyan Namavarian1, Ben B Levy2, Meghan Tepsich3
1Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
International journal of pediatric otorhinolaryngology
|January 7, 2024
概括
穿皮气管切除术对于儿科患者来说是一个可行的选择,显示了与开放手术相似的并发症风险. 这种手术最好保留给具有明显解剖学标志的青少年,理想情况下在内镜指导下在床边进行.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 手术方面的创新.
- 呼吸道管理 呼吸道管理
背景情况:
- 穿皮气管切除术 (PT) 是成年人的标准,但由于安全问题和证据有限,在儿科中未得到充分利用.
- 这一系统性审查巩固了有关儿科患者 (年龄≤18岁) 治疗PT的现有文献.
结论:
- 皮穿式气管切除术的并发症率与儿童和青少年的开放式气管切除术相似.
- 在某些特定情况下,该程序可以在床边安全地执行.
- 儿科的PT应优先考虑具有有利解剖学的青少年,利用内镜指导和转换能力.
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