在童年时滑肋综合征. 一个案例系列
Víctor Álvarez-Muñoz1, Ángeles Prado2, Nataliz Vega1
1Department of Pediatric Surgery; Hospital Universitario Central de Asturias, Oviedo, Spain.
Archivos argentinos de pediatria
|March 14, 2024
概括
滑肋综合征是一种罕见的胸痛原因,可以发生在没有创伤的儿童身上. 手术切除受影响的肋骨软骨有效地解决了儿科患者的严重胸部腹部疼痛.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
背景情况:
- 滑肋综合征是胸痛的不常见原因,有争议的管理.
- 它通常与创伤有关,但也可能在没有创伤的情况下发生,表明发育变化.
- 这种情况应在儿童胸痛的差异诊断中考虑.
研究的目的:
- 描述了一系列被诊断为肋骨滑动综合征的儿科患者.
- 评估手术对儿童这种疾病的疗效.
主要方法:
- 在2001年至2022年期间接受治疗的患有滑肋综合征的儿科患者的回顾性评估.
- 包括9名年龄在11~16岁之间的患者.
- 手术管理涉及到受影响的肋骨软骨的开放切除.
主要成果:
- 只有两名患者有创伤史.
- 所有患者出现了突然的,严重的胸部腹部疼痛.
- 肋骨软骨的开放切除在所有情况下都导致了完全的疼痛缓解.
结论:
- 滑肋综合征可以影响儿童,通常没有创伤史.
- 对受影响的肋骨软骨进行手术切除是儿科滑肋综合征的有效治疗方法.
- 早期诊断和手术干预可以解决受影响儿童的衰弱性胸痛.
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