产后重症监护病房的评估 家庭灌 在拉透之前:对希尔施普朗格疾病管理的影响
Elizaveta Bokova1, Ninad Prasade1, Wendy E Lewis2
1Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Kansas City, Kansas City, MO, USA.
Journal of pediatric surgery
|April 3, 2024
概括
对于新生儿的希尔施普朗格病 (HD) 延迟拉透手术是一种安全的替代方案,而不是立即重建. 这种方法可以显著减少新生儿重症监护室 (NICU) 停留时间,而不会增加与赫斯普隆相关的肠球炎 (HAEC) 的风险.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 新生儿科学 新生儿科学
背景情况:
- 希尔施普朗格病 (HD) 管理涉及拉通程序,无论是在新生儿重症监护室 (NICU) 停留期间还是延迟出院后.
- 家庭灌可以实现腹部减压,从而实现延迟的拉透手术.
- 评估延迟拉透的安全性,特别是关于与希尔施普朗相关的肠球炎 (HAEC),至关重要.
研究的目的:
- 评估延迟拉透手术对HD的安全性和结果.
- 为了比较延迟的 pull-through 与新生儿重建在婴儿成功的家庭灌.
- 为了确定对HAEC发展和NICU停留时间的影响.
主要方法:
- 对患有HD的新生儿进行延迟或新生儿 pull-through 的回顾性审查 (2018年7月-2022年7月).
- 分析后拉透HAEC的发病率,复发,时间到第一次发作,NICU停留时间 (LOS) 和HAEC相关的LOS.
- 延迟和新生儿 pull-through队伍之间的比较.
主要成果:
- 在24名患有HD的新生儿中,有18名新生儿在家里灌后出院;12名新生儿经历了延迟拉透.
- 延迟引进队列经历了显著较短的NICU LOS (6天与18天相比).
- 肠道炎的发病率,第一次发作的时间和与HAEC相关的LOS在各组之间是相似的.
结论:
- 延迟拉透手术是新生儿重建的安全有效替代方案,用于选择的HD婴儿.
- 这种方法可以减少NICU停留的时间,而不会影响术后的HAEC结果.
- 延迟引进提供了一个可行的策略来管理HD,优化资源利用.
相关概念视频
Suctioning the Nasopharyngeal Airway
396
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
396
Suctioning the Oropharyngeal Airway
212
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
212
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
152
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
152
Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80


