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儿科灵活支气管镜外体移除的低血风险:一个回顾性研究
Su-Jing Zhang1,2, Min-Yi Lin1, Min Zhou1,2
1College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Department of Anesthesiology, Fujian Children's Hospital(Fujian Branch of Shanghai Children's Medical Center), Fujian Key Laboratory of Women and Children's Critical Diseases ReseFujian Medical Universityarch, Fuzhou, China.
BMC pediatrics
|May 23, 2024
概括
缺氧症在小儿外体 (FB) 通过支气管镜检查去除时很常见. 较长的操作时间,较大的FB和肺炎增加了这种风险.
科学领域:
- 儿科肺病学 儿科肺病学
- 麻醉学 麻醉学
- 医疗器械安全 医疗器械安全
背景情况:
- 低氧症是儿童灵活支气管镜检查外体 (FB) 移除过程中最常见的不良事件.
- 未经治疗的低氧化症可能导致心脏或呼吸系统停止.
- 在FB切除过程中缺氧的危险因素需要进一步定义.
研究的目的:
- 在儿科患者的灵活支气管镜检索外体检索期间识别与低氧症相关的特定危险因素.
- 为了告知临床实践,并提高这些程序期间的患者安全.
主要方法:
- 在2015年1月1日至2022年12月31日期间,对266名儿科患者进行了柔性支气管镜检查以提取FB的回顾性分析.
- 在手术过程中,利用上气道连接麻醉器件.
- 采用多变量分析来确定显著的低血风险因素.
主要成果:
- 低氧症发生在16.9% (45/266) 的儿科患者中.
- 显著的低氧症风险因素包括:操作时间>60分钟 (OR 8.55),最大FB直径>7毫米 (OR 5.03),以及成像中的肺炎 (OR 2.69).
- 这些因素通过多变量分析和相关的置信区间来确定.
结论:
- 接受灵活支气管镜检查以去除FB的儿科患者容易发生低氧化症.
- 延长手术持续时间,更大的异物体大小和肺炎的存在是增加氧气不足风险的重要预测因素.
- 识别这些风险因素可以指导支气管透视期间的预防策略和管理.
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