在开放的儿科肺切除术后的胸部排水:并不总是需要
Georges Kamil Tinawi1, Prabal Mishra2
1Department of Paediatric Surgery, Wellington Children's Hospital, 23 Mein Street, Newtown, Wellington, 6021, New Zealand. Gtinawi44@gmail.com.
Pediatric surgery international
|January 27, 2024
概括
在小儿开放肺切除术后选择性胸部排水疏忽是安全的,并减少了住院时间. 这种方法可以避免并发症和重新干预,提供更好的患者体验.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 胸部排水在儿科患者中引起疼痛和焦虑.
- 证据支持在儿童胸腔镜肺切除后省略排水.
- 在儿童开放肺切除后省略排水管的安全性尚未评估.
研究的目的:
- 在接受开放肺切除的儿童中,评估选择性胸腔排水放置的安全性.
- 描述机构对选择性胸部排水疏忽的经验.
- 报告选择性胸腔排水位置的并发症概况.
主要方法:
- 从2009年6月到2022年6月,对儿童 (16岁以下) 的开放肺切除术的回顾性审查.
- 对临床,放射和手术结果的分析.
- 带有和没有手术内胸部排水的儿童之间的比较.
主要成果:
- 35名儿童接受了开放式肺切除;8名 (23%) 没有排水,29名 (77%) 有排水.
- 没有排水的儿童住院时间显著缩短 (2.5天而不是5.0天).
- 两组之间并发症率,重新干预,残留肺胸部或输液没有显著差异.
结论:
- 在小儿开放肺切除术后,胸部排水并不总是必要的.
- 选择性忽略胸部排水是安全的,没有增加的并发症或重新干预.
- 忽略胸部排水与更短的住院时间有关.
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