高度儿科肝损伤的多学科管理
Syed Waqas Ali1, Areej Salim2, Uzair Aslam3
1Department of Pediatric Surgery, Dow University of Health Sciences, Karachi, Pakistan.
概括
高度儿科肝损伤带来管理挑战. 多学科护理对于这些复杂病例的最佳结果至关重要,尽管保守的方法可能导致显著的发病率和死亡率.
科学领域:
- 儿科手术 儿科手术
- 创伤管理 创伤管理
- 肝胆道手术 肝胆道手术
背景情况:
- 高度儿科肝损伤由于高发病率和死亡率而具有挑战性.
- 对于出血和胆道泄漏的紧急手术通常是不理想的.
- 保守管理越来越多地被采用,但需要仔细的多学科监督.
研究的目的:
- 介绍高度儿科肝损伤的多学科管理经验.
- 为了突出在管理hemobilia和创伤性胆汁泄漏在儿童的挑战.
主要方法:
- 在两个高等医疗中心对儿科突发性肝损伤的回顾性审查 (2021年3月 - 2022年12月).
- 对四名患有4级及以上突发性肝损伤的患者的分析.
主要成果:
- 一个4级血栓损伤需要血管栓塞和肝动脉绑定.
- 另一位患有胆道周周炎的患者接受了管腔胃口术和ERCP,并安装了支架.
- 一例血瘤被保守地管理; 一次5级损伤在手术期间过期.
结论:
- 重度肝损伤的保守管理带有显著发病率和死亡率的风险.
- 多学科的团队方法对于儿科高度肝损伤的最佳结果至关重要.
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