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儿科外周血管创伤:发生率和结果

Candice L Dunn¹, Sathyaprasad Burjonrappa¹

¹Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

The American surgeon

|March 25, 2024

概括

儿科外周血管创伤 (PVT) 是罕见的,但的伤害和下肢PVT显著增加了儿童重大截肢的风险. 早期识别这些风险因素对于更好的结果至关重要.

科学领域:

血管外科血管外科
儿科创伤儿童创伤
创伤登记分析创伤登记分析

背景情况:

外周血管创伤 (PVT) 是儿科患者不常见的损伤,发病率低于1%.
了解儿科PVT重大截肢的风险因素对于改善患者管理和结果至关重要.

研究的目的:

为了调查儿科PVT的发病率.
确定与儿童维持PVT重大截肢相关的风险因素.

主要方法:

2019年国家创伤数据库 (NTDB) 的回顾性分析.
评估人口统计,伤害特征,创伤中心数据,伤害严重程度,停留时间和截肢率.
基平方和t测试用于统计分析.

主要成果:

在130,554名儿科创伤患者中,1196名 (0.9%) 患有PVT,涉及1460个四肢.
大多数患者是男性 (78%),平均年龄为14岁;穿透性伤害最常见 (62.2%).
在2.6%的患者中发生重大截肢,而重创伤 (OR 3.3) 和下肢PVT (OR 11.1) 的几率显著更高.

结论:

形机制和下肢参与是儿童外周血管创伤中重大截肢的重要预测因素.
这些发现凸显了对PVT儿科患者,特别是那些下肢受伤或重创伤的儿科患者需要提高警和量身定制的管理策略的需要.

关键词:

第三十三章没有了证据的证据水平截肢的发生率截肢的发生率肢体救援救援肢体救援小儿外周血管创伤

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