儿童的输出管后喉炎:诊断,治疗和随访
Elaine Costa1, Débora Bressan Pazinatto1, Luciahelena Prata Trevisan1
1Disciplina de Otorrinolaringologia Cabeça e Pescoço, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Brazil.
Brazilian journal of otorhinolaryngology
|May 26, 2024
概括
输出管后喉炎在需要输入管的儿童中很常见. 严重的喉病变与较差的结果相关,包括更高的输出失败率和需要气管切除术.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 关键护理医学 关键护理医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 输出管后喉炎是儿童机械通风后的一种已知的并发症.
- 了解其发生率,演变和对临床结果的影响对于有效管理至关重要.
研究的目的:
- 为了确定儿科患者的输出管后喉炎的发生情况.
- 为了分析喉病变的一年进展情况.
- 为了将喉病变的严重程度与临床结果相关联.
主要方法:
- 通过内镜检查对被诊断患有输出管后喉炎的儿童 (13岁以下) 进行了回顾性研究.
- 纳入标准:确诊;排除标准:先前的输入管史或呼吸道异常.
- 收集的数据:患者人口统计,基本诊断,喉病变,治疗和12个月的结果.
主要成果:
- 38例确诊的输出管后喉炎 (86.4%的疑似病例). 平均年龄 13.24 个月;男性 60.5%.
- 中度/重度喉病变 (53%) 与更高的输出失败 (1.95 vs 0.72),增加了气管切除 (36.8%) 和喉狭窄 (21%) 的需要相关.
- 在随访时,58.6%的患者观察到完全康复.
结论:
- 输出管后喉炎是患有输出管问题儿童的常见诊断.
- 喉病变的严重程度预测了一年后的预后不太好.
- 耳鼻喉科的评估和结构化的后续对最佳管理至关重要.
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