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长期使用家庭侵入性机械通风的儿童尿道系统问题的原因和治疗方法
1Department of Pediatric Nephrology, Dokuz Eylül University Medical Faculty, Balçova, Izmir, Turkey.
Pediatric pulmonology
|March 5, 2024
概括
长期使用家用机械通风的儿童往往会出现尿道系统问题,如感染和脏问题. 管理重点是预防并发症和保护这些脆弱患者的功能.
科学领域:
- 儿科脏病学 儿科脏病学
- 儿科肺病学 儿科肺病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 需要长期使用家庭机械通风的儿童经常患有并发性尿路疾病.
- 通风策略的进步使儿童能够在复杂的条件下生存,强调需要解决与之相关的泌尿器科问题.
研究的目的:
- 审查有关家用机械通风器所依赖的儿童尿道系统问题的原因和管理的文献.
- 确定常见的泌尿病并发症及其预防策略.
主要方法:
- 在PubMed/MEDLINE,Scopus和Web of Science进行的文献搜索.
- 关键词包括"儿童"",家庭机械通风"",尿道系统"",神经性膀"",尿路感染"和"尿病".
- 包括以英语出版的原创文章,评论,指导方针和案例报告.
主要成果:
- 依赖于呼吸机的儿童容易发生神经性膀/肠功能障碍,导致尿路感染,膀高压,膀外流,水和功能障碍.
- 尿道感染和尿病等并发症可能由膀管理 (导管,手术) 和固定,药物和尿路静止等因素引起.
- 机械通风本身可以通过对心脏输出和内血流的影响损害功能.
结论:
- 依赖于呼吸机的儿童需要警的泌尿学监测和管理,以防止尿路感染,尿病和急性损伤等并发症.
- 膀功能障碍和相关风险因素的积极管理对于在这个人群中保持脏健康至关重要.
- 跨学科的护理对于解决长期使用家庭机械通风的儿童复杂的泌尿器科需求至关重要.
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