儿童固体器官损伤的管理
Bailey D Lyttle1, Regan F Williams2, Steven Stylianos3
1Department of Surgery, University of Colorado School of Medicine and Children's Hospital Colorado, 12631 East 17th Avenue, Room 6111, Aurora, CO 80045, USA.
Children (Basel, Switzerland)
|June 27, 2024
概括
儿科固体器官损伤 (SOI) 的管理已经发展,强调非手术方法. 目前的指导方针侧重于优化,肝脏,脏和胰腺损伤的护理,尽量减少干预措施,同时确保患者的安全.
科学领域:
- 儿科手术 儿科手术
- 创伤管理 创伤管理
背景情况:
- 固体器官损伤 (SOI) 是儿科腹部创伤的常见后果.
- 对于SOI的管理策略已经经历了显著的演变.
- 美国儿科外科协会 (APSA) 在2000年发布了关于脏和/或肝损伤 (BLSI) 的初步指南.
研究的目的:
- 审查目前针对儿科固体器官损伤的基于证据的管理指南.
- 涵盖初步评估,住院管理和长期护理.
- 为了识别协议优化当前文献的空白.
主要方法:
- 审查当前基于证据的管理准则.
- 对非操作性管理 (NOM) 策略的文献分析.
- 检查降低侵袭性手术,住院和活动限制的方法.
主要成果:
- 非手术管理 (NOM) 是SOI的主要治疗方法.
- 许多研究评估了侵入性手术,住院和活动限制的安全减少.
- 对于儿童的脏,肝脏,脏和胰腺损伤,已有确定的指导方针.
结论:
- 目前对儿科SOI的管理强调NOM和资源优化.
- 需要进一步的研究来解决现有的差距,并完善治疗方案.
- 优化小儿SOI的协议需要持续评估基于证据的实践.
相关概念视频
Tissue Transplantation
356
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
356
Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K
Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
Flail Chest-II
162
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
162


