儿科患者的外腔室排水:说明,管理,和分流转换率
Oday Atallah1, Joachim K Krauss1, Elvis J Hermann2
1Department of Neurosurgery, Hannover Medical School, Hannover, Germany.
概括
外腔室排水 (EVD) 放置是儿科患者的安全有效的神经外科手术程序. 这项研究分析了EVD的症状,治疗方法和结果,发现大多数病例的并发症率低,并成功转换.
科学领域:
- 神经外科 神经外科
- 儿科医学 儿科医学
- 关键的护理关键的护理
背景情况:
- 外腔室排水 (EVD) 是一种常见的神经外科手术程序.
- 儿童EVD安置带来了独特的挑战和风险.
- 了解EVD的征兆,管理和结果对于优化患者护理至关重要.
研究的目的:
- 调查儿科患者中EVD安置的指示.
- 分析用于儿科EVD的管理策略.
- 为了确定在儿童感染埃博拉病毒后的分流转换率.
主要方法:
- 在12年的时间里,对接受EVD安置的儿科患者进行了回顾性分析.
- 实施捆绑方法以尽量减少感染率.
- 根据潜在的病理学,将患者分为瘤,出血和感染组.
主要成果:
- 包括126名儿科患者,平均年龄为5.2岁.
- 最常见的症状是瘤 (42.9%),其次是感染 (37.3%) 和出血 (19.8%).
- 整体并发症率为19.8%,感染是最常见的 (9.5%);出血组的并发症率最高. 没有观察到长期并发症.
结论:
- 在儿童中安置EVD是一种安全有效的神经外科干预.
- 转换为永久的分流系统在以前依赖分流的患者中是成功的,在瘤和出血组中是相似的.
- 建议进行进一步的前性和随机化研究,以解决多变量方面,并推进儿科埃博拉病毒病管理.
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