急性乳腺炎的内并发症:手术并不总是必要的
Shadi Shinnawi1, Majd Khoury2, Mauricio Cohen-Vaizer1
1Department of Otolaryngology Head and Neck Surgery, Rambam Healthcare Campus, The Technion, Israel Institute of Technology, Haifa, Israel.
American journal of otolaryngology
|April 24, 2024
概括
具有内并发症的急性乳腺炎可以在选定的儿科患者中保守地管理. 密切监测是关键,最初的抗生素应该针对严重病例的无氧细菌.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿童传染病 儿童传染病
- 神经外科 神经外科
背景情况:
- 急性乳腺炎 (AM) 可能导致危及生命的内并发症.
- 标准治疗包括抗生素,乳腺切除术和排水,趋向于更保守的方法.
- 这项研究评估了AM引起的内并发症的儿科患者的表现,管理和结果.
研究的目的:
- 分析儿童急性乳腺炎与内并发症的临床表现.
- 评估保守与外科手术管理策略的有效性.
- 确定与严重结果相关的因素,并指导治疗决策.
主要方法:
- 2010年1月至2021年12月期间因急性乳腺炎住院的儿科患者的回顾性评估.
- 纳入标准:与内并发症相关的乳腺炎.
- 研究遵守观察性研究的STROBE指南.
主要成果:
- 23名儿科患者被诊断患有急性乳腺炎和内并发症.
- 最常见的症状:发烧和耳痛. 常见的病原体:Fusobacterium necrophorum和肺炎菌株.
- 静脉血栓 (SVT) 是最常见的并发症 (13名患者). 保守管理显示,与手术干预相比,住院时间没有显著差异.
结论:
- 急性乳腺炎的内并发症是一个重大的临床挑战.
- 选择的儿科病例可以在严密监测下进行保守的管理,而不会增加风险.
- 抗微生物药物治疗应包括对无氧细菌的覆盖,因为它们与严重并发症有关.
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