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在先天性隔膜 - 风险因素,管理和结果中的膜溢出和胆胸
Yannick Schreiner1,2, Sidre Sahin1, Christiane Otto3
1Department of Neonatology, University Children's Hospital Mannheim, University of Heidelberg, 68167 Mannheim, Germany.
Journal of clinical medicine
|March 28, 2024
概括
大型先天性隔膜 (CDH) 缺陷和需要术后ECMO是胆胸病的危险因素. 胆胸与更长的住院时间和慢性肺部疾病有关,但与CDH患者的存活率无关.
科学领域:
- 儿科手术 儿科手术
- 新生儿医学 新生儿医学
- 胸部外科手术 胸部外科手术
背景情况:
- 胸腔溢出和胸腔是先天性隔膜 (CDH) 管理中的常见并发症.
- 确定胆胸的危险因素及其对新生儿结局的影响至关重要.
研究的目的:
- 确定CDH新生儿中胆胸的危险因素.
- 调查流和胸与新生儿发病率和死亡率的关联.
主要方法:
- 对396名CDH新生儿进行了回顾性队列研究 (2013年1月 - 2019年6月).
- 评估手术前和手术后的胸部放射和临床数据.
- 与发病率,并发症和死亡率的相关性.
主要成果:
- 胆胸发生在18.6%的CDH病例中.
- 胆胸部的重大风险因素包括较大的CDH缺陷和需要术后ECMO.
- 胆胸与更长的机械通风,ECMO持续时间,住院和慢性肺病发病率增加有关,但没有生存.
结论:
- 大型CDH缺陷和术后ECMO是胆胸病的重要危险因素.
- 胆胸与新生儿发病率增加有关,包括慢性肺病.
- 奇洛索拉克斯似乎不会影响CDH患者的存活率.
关键词:
在CDH中,CDH是CDH.在ECMO中,可以使用ECMO.胸部管道 胸部管道慢性肺病是一种慢性肺病.基洛托拉克斯 (chylothorax) 是一个有机体.胸腔溢出 胸腔溢出 胸腔溢出 胸腔溢出更多相关视频
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