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儿科食道按电池协议缩短了从呈现到移除的时间
Samantha Goh1, Jennifer M Siu1, Justine Philteos1
1Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
The Laryngoscope
|June 27, 2024
概括
实施Zakai的协议 (ZP) 显著减少了食道按电池 (BB) 的清除时间,并增加了缓解策略的使用. 需要进一步的预防和转移策略来避免并发症.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗器械安全 医疗器械安全
背景情况:
- 摄入食道按电池 (BB) 具有严重的粘膜损伤的重大风险.
- 及时去除和有效的缓解策略对于预防食道损伤至关重要.
研究的目的:
- 评估机构协议 (Zakai的协议 - ZP) 的有效性,以减少食道BB去除的时间.
- 评估议定书对利用减缓策略的影响.
主要方法:
- 一个案例系列研究审查了51名患有食道BB冲击的患者在ZP实施之前和之后 (2011-2023年).
- 关键指标包括从机构到达到手术室 (OR) 转移的时间,遵守协议步骤,以及使用缓解策略 (蜂蜜,糖酸,酸).
主要成果:
- 在ZP实施后,OR转移的时间从4.6小时显著减少到0.4小时 (p < 0.001).
- 遵守关键管理步骤,包括直接耳鼻喉科转诊和OR转诊,得到了很大改善.
- 使用缓解策略,如手术前的蜂蜜/糖酸和手术后的乙酸的使用显著增加.
结论:
- 扎卡伊的协议实施有效地减少了食道BB的去除时间,并加强了缓解策略的使用.
- 进一步努力预防BB摄入和优化转移时间到第三级护理中心是必要的,以尽量减少侵蚀性并发症.
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