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腹腔巴克洛芬迁移:一个罕见的并发症. 有关案例说明的例子

Ashley Ricciardelli^1,2, Jordan Guntin^1,2, Joshua Korb^1,2

¹Division of Neurosurgery, Department of Surgery, Baylor College of Medicine, Houston, Texas.

Journal of neurosurgery. Case lessons

|September 2, 2024

概括

腹膜迁移是儿童内内巴克洛芬安置的罕见并发症,特别是在下面的技术. 低体重和脊椎病可能会增加风险,在植入过程中需要仔细考虑.

科学领域:

神经外科神经外科
儿科手术儿科手术
医疗器械并发症医疗器械并发症

背景情况:

导管内巴克洛芬治疗儿童的严重性.
在小儿病患者中,偏好 Subfascial 放置,以最大限度地减少感染和伤口愈合问题.
腹腔迁移是这种方法的一个罕见但潜在的并发症.

研究的目的:

报告小儿病例的腹膜迁移后的子内内巴克洛芬放置.
确定儿科患者迁移的潜在风险因素和有助于发生的因素.
为管理和预防迁移提供建议.

主要方法:

儿童病例的回顾性审查,14年内发生腹膜迁移.
分析患者的特征,包括体重和脊椎病的存在.
气安置技术 (子) 和迁移事件管理的文档.

主要成果:

在545名儿科患者中,发现了三例 (0.5%) 腹膜迁移病例.
所有受影响的患者体重低 (低于39百分位).
这三名患者中有两名患有脊椎病,需要进行手术.

结论:

腹膜迁移可以发生在儿童的子内巴克洛芬放置.
低体重,较大的大小 (40-mL) 和脊椎病是潜在的促成因素.
为较小的患者考虑较小的尺寸 (20-mL),并在补充之前保持对迁移的高度怀疑.

关键词:

巴克洛芬是一种.一系列的案例系列.这是一个复杂的并发症.腹腔周围的迁移.

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