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推向后退:评估肠道内肠接的保守治疗的有效性
Catarina Carvalho1, Mário Rui Correia1, Ana Barros1
1From the Department of Pediatric Surgery, Centro Hospitalar Universitário do Porto.
Pediatric emergency care
|January 31, 2024
概括
对于儿科肠静脉塞 (II) 的保守治疗是安全有效的,盐水浸泡剂的成功率更高. 这种方法避免了手术,在大多数情况下可以在同一天出院.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 手术儿科手术小儿科
背景情况:
- 肠道内 (II) 是儿童急性腹部的常见原因.
- 及时诊断和治疗对于预防不可逆转的肠损伤至关重要.
研究的目的:
- 评估儿科肠道内肠接治疗的保守管理的有效性和结果.
主要方法:
- 从2014年1月到2019年12月,对38例儿科II病例进行了回顾性单中心审查.
- 评估人口统计学,临床表现,治疗方法 (盐水与空气阴囊) 和结果.
- 腹部超声波用于所有诊断.
主要成果:
- 在95%的病例中,保守治疗是主要的方法,在一次尝试后,成功率为83%.
- 与空气减少阴道 (70%) 相比,盐水减少阴道显示出更高的有效性 (88%).
- 年轻的年龄与成功的减肥相关,尽管在统计学上并不显著. 没有任何因素预测治疗失败或复发.
结论:
- 保守地管理儿科肠静脉接是手术的安全有效替代方案.
- 保守治疗的高成功率 (高达88%) 允许快速恢复饮食和安全的当天出院.
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