复杂的Falciparum疟疾ARDS需要非侵入性支持
Marco Piastra1,2, Enzo Picconi1, Orazio Genovese1
1From the Pediatric ICU and Trauma Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
严重的Plasmodium falciparum疟疾可以导致儿童急性呼吸困扰综合征 (ARDS),需要密集护理. 这项研究强调了三起儿童病例的进口疟疾ARDS管理的非侵入性通风,没有脑部并发症.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 传染病 传染病 传染病
- 呼吸系统药物 呼吸系统药物
背景情况:
- 严重的Plasmodium falciparum疟疾是儿童发病率的一个重要原因.
- 急性呼吸窘迫综合征 (ARDS) 是严重疟疾的危及生命的并发症.
- 大脑疟疾很常见,但呼吸道并发症可以独立发生.
研究的目的:
- 在儿童中描述三例进口疟疾ARDS病例.
- 为了说明儿童疟疾ARDS的非侵入性通风的使用.
- 在这些情况下,将放射学发现与血液学并发症相关联.
主要方法:
- 三名患有进口严重疟疾的儿科患者的病例系列介绍.
- 详细的临床数据收集,包括呼吸状况和重症监护干预.
- 分析了放射性成像 (胸部X射线/CT扫描) 和实验室调查 (血液学).
主要成果:
- 这三个孩子都患有急性呼吸困难综合征 (ARDS),原因是Plasmodium falciparum疟疾.
- 在儿科重症监护病房成功使用了非侵入性通风来支持呼吸.
- 没有病例涉及脑疟疾;放射学发现与ARDS一致,并与严重的血液问题有关.
结论:
- 进口Plasmodium falciparum疟疾可以导致严重的呼吸困扰和ARDS在儿童中,即使没有大脑参与.
- 非侵入性通风是儿科疟疾ARDS的可行的呼吸支持策略.
- 放射性特征和血液学并发症是管理疟疾ARDS的重要考虑因素.
更多相关视频
06:22Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
Published on: April 7, 2021
07:20Lavage-induced Surfactant Depletion in Pigs As a Model of the Acute Respiratory Distress Syndrome ARDS
Published on: September 7, 2016
相关概念视频
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Acute Respiratory Failure-III
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Acute Respiratory Failure-I
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Acute Respiratory Failure-IV
