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直肠形的晚期诊断:有多好是足够好吗?

Joseph Davidson^1,2, Indre Zaparackaite¹, Charlotte Holbrook¹

¹Department of Paediatric Surgery, Evelina London Children's Hospital, London, SE1 7EH, UK.

Pediatric surgery international

|July 5, 2024

概括

延迟诊断阳肠形 (ARM) 影响15%的婴儿,特别是那些有可见周围开口的婴儿. 早期检测至关重要,以防止患有症状的婴儿出现紧急情况的并发症.

科学领域:

儿科手术儿科手术
新生儿护理新生儿护理
遗传异常是一种先天性异常.

背景情况:

甲状腺形 (ARM) 诊断延迟是一个问题,英国的数据显示,近25%的病例被诊断迟到.
英国新生儿体检指南要求在出生后72小时内进行围体检.

研究的目的:

在五年内在单一的三级中心分析晚诊断的直肠形 (ARM) 的发生率和特征.

主要方法:

从2018年7月到2024年3月,对ARM患者的未来注册表分析.
延迟诊断的定义:出生后72小时或出院后的表现.
识别与延迟诊断相关的因素.

主要成果:

15% (9/60) 的婴儿在72小时后被诊断出患有ARM,与之前的国家数据 (22%) 相比,这一数字没有显著改善.
晚期诊断的患者更频繁地出现了阻塞症状 (44%vs. 2%) 并有周围的异常 (25%vs. 4%).
记录了晚诊病例的并发症和管理变化.

结论:

虽然ARM的地区晚诊率似乎低于国家数据,但仍有大量的婴儿,特别是那些有可见周围开口的婴儿,仍被晚诊.
在有症状的婴儿中,晚期诊断增加了与紧急情况相关的风险.

关键词:

阴道直肠形阴道直肠形这是一种先天性异常.延迟诊断的时间延迟.新生儿查新生儿查

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