儿科表观 - - 保守管理的有效性
Ayalon Hadar1, Uri Peleg1, Jameel Ghantous1
1From the Department of Otolaryngology, Head and Neck Surgery, Shaare-Zedek Medical Center, The Hebrew University.
Pediatric emergency care
|April 2, 2024
概括
儿科表 (鼻血) 通常不像成人那样严重,很少需要重大干预. 建议使用可吸收的鼻包,而不是烧灼,以获得儿童更好的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科急救医学 儿科急救医学
背景情况:
- 鼻血是常见的紧急情况,儿童病例与成人病例在原因,严重程度和管理方面有很大差异.
- 了解这些差异对于有效的急诊室 (ED) 治疗儿科表症至关重要.
研究的目的:
- 为了识别儿科表观症的独特特征.
- 确定在ED环境中经历鼻血的儿童的最佳管理策略.
主要方法:
- 对231例儿科 (<18岁) 间歇性瘤病例进行了回顾性分析,这些病例呈现ED.
- 从2013-2018年收集的数据,与一般表病患者群体 (1171例) 相比.
主要成果:
- 儿科表皮质变化不那么严重,只有3.9%需要住院治疗,0.9%需要手术.
- 前部出血 (43.7%) 比后部出血 (3.5%) 更常见,在52.8%的病例中没有观察到活跃出血.
- 与成年人相比,儿童有较少的活跃出血,复发性表,需要前部包装和住院治疗.
结论:
- 儿科表观通常不那么严重,很少需要显著的干预.
- 常规内镜检查和凝血试验是不必要的,除非存在特定的危险因素 (例如,反复出血,凝血病).
- 吸收性鼻袋被建议作为化或非吸收性鼻袋的优越替代品,用于管理儿科表.
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