患有C型食道的早产婴儿的结果
Annie Le-Nguyen1, Émilie Kate Landry2, Prévost Jantchou3
1Department of Pediatric Surgery, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montréal, QC, Canada.
患有C型食道缩症 (EA) 的早产婴儿的短期结果与满期婴儿相似,但早产会增加复发性瘤和长期养支持的风险. 在早产婴儿中推迟手术与并发症有关.
科学领域:
- 儿科手术 儿科手术
- 新生儿科学 新生儿科学
- 胃肠病学 胃肠病学
背景情况:
- C型食道缩症 (EA) 在早产婴儿中提出了独特的挑战.
- 了解这种脆弱人群的结果对于优化护理至关重要.
研究的目的:
- 为了比较C型EA型早产婴儿的术后结果与期满婴儿的术后结果.
- 确定C型EA管理中与早产相关的具体挑战和并发症.
主要方法:
- 回顾性队列研究分析了1992年至2022年的患者病历.
- 过早生婴儿和患有类型CEA的分娩婴儿之间的结果比较.
- 根据出生体重 (非常低的出生体重与>1,500g) 和解的时间 (初级与延迟) 来分析早产婴儿的子组分析.
主要成果:
- 早产婴儿 (67/192) 的短期术后结果与预产婴儿相似,除了复发性抽的更高率 (16%与6%相比).
- 过早生育与长期增加的肠管养 (56%对10%) 和肠外营养,以及更长的住院时间 (50对17天) 相关.
- 在早产婴儿中推迟手术与术后泄漏,狭窄,复发性囊,长时间的养支持和胃口插入有关. 与其他早产婴儿相比,出生时体重非常低的婴儿在结果中没有显著差异.
结论:
- 患有C型EA/TEF的早产婴儿经历的术后结果与预产婴儿相似,尽管早产相关的并发病率更高.
- 复发性囊在患有类型CEA的早产婴儿中更为频繁.
- 在早产婴儿中,延迟解与不良的术后结果有关,这凸显了及时手术干预的重要性.
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