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延迟重复阴囊与镇静在儿科内肠静脉受精中的应用:单一中心回顾性研究
Qiulong Shen1, Dayong Wang1, Tingting Liu1
1Department of Emergency Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No. 56 Nanlishi St, Xicheng District, Beijing 100045 China.
Journal of pediatric surgery
|July 9, 2024
概括
延迟重复气囊 (DRE) 与镇静是一种安全和可行的方法,可以提高儿科内肠缩减少成功率. 左侧静脉塞是DRE失败的关键风险因素.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 干预性放射学 干预性放射学
- 外科手术的结果
背景情况:
- 肠接是一个常见的儿科手术紧急情况.
- 空气浸泡减少是主要的治疗方式.
- 在空气浸泡期间的镇静可能会改善结果.
研究的目的:
- 评估延迟重复气溶液 (DRE) 的临床应用和有效性,并对儿科内肠静止进行镇静.
- 为了确定与DRE故障相关的风险因素.
主要方法:
- 对211例儿科内肠接病例的回顾性分析,这些病例是用DRE与镇静治疗的.
- 在成功和失败组之间比较患者人口统计学,临床特征和手术数据.
- 后勤回归分析以确定DRE故障的独立风险因素.
主要成果:
- 用镇静剂进行DRE的成功率为76.8% (162/211).
- 总体而言,减少气囊的成功率为97.8%.
- 与DRE失败相关的因素包括年龄≤1岁,血和左侧静脉塞;左侧静脉塞是一个独立的危险因素 (OR=10.1).
结论:
- 用镇静剂进行DRE是可行的,对于治疗儿科内肠置是安全的.
- 这种方法提高了空气阴囊减少的整体成功率.
- 左侧静脉吸收是阴囊失败的重要独立预测因子.
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