一系列案例成功地管理了主要的外,通过清醒的渐进式压缩包裹和早期的肠道养
Hussam Widatella1, Sami Abd Elwahab1, Zakya Penny2
1Department of General Paediatric Surgery, Children's Health Ireland at Crumlin, Dublin 12, Ireland.
Irish journal of medical science
|February 20, 2024
概括
一种新的压缩连衣技术成功地治疗了四名新生儿的脑外大 (EM). 这种方法可以在没有麻醉的情况下减少袋子的含量,允许早期养并避免长时间的通风.
科学领域:
- 新生儿手术 新生儿手术
- 儿科外科手术 儿科外科手术
- 有先天性异常.
背景情况:
- 大脑外 (EM) 是一种先天性异常,涉及到腹部内脏在带底部的.
- 由于证据有限和有争议的方法,其管理具有挑战性.
- 脑脊髓炎的发病率大约是每4000-6000例出生的1例.
研究的目的:
- 评估一种渐进式压缩接技术,用于管理大脑外 (EM).
- 评估这种非手术方法在新生儿中的安全性和有效性.
- 确定该技术是否有助于早期的肠道养,并减少了对密集呼吸支持的需求.
主要方法:
- 在2018年至2021年期间被诊断患有EM的四名新生儿的病例系列.
- 在生命的前三天内应用渐进的压缩包装技术.
- 在一般新生儿病房的床边进行治疗.
主要成果:
- 所有四名患有EM的新生儿 (缺陷大小为5-7厘米) 都被用压缩带治疗.
- 完全肠道养的平均时间为一周,只有一个患者需要肠道营养.
- 三名新生儿后来接受了手术修复,没有人需要修复贴片或长时间通风.
结论:
- 渐进式压缩包装技术是管理EM的成功方法.
- 这种方法可以在没有全身麻醉或呼吸系统损害的情况下减少袋子的含量.
- 同时的肠道养被很好地容忍,简化了新生儿护理.
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