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患有支气管肺功能障碍的早产婴儿的灵活支气管镜检查:匹配对照研究中的发现和并发症
Noa Shemesh Gilboa1, Micha Aviram1,2, Aviv Goldbart1,3,2
1Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
European journal of pediatrics
|September 8, 2024
概括
患有支气管肺功能障碍 (BPD) 的婴儿在灵活支气管镜检查 (FB) 期间出现更高的呼吸道异常和并发症. 这凸显了对这一高风险群体的FB程序进行仔细准备的必要性.
科学领域:
- 儿科肺病学 儿科肺病学
- 新生儿科学 新生儿科学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 支气管肺功能障碍症 (BPD) 是早产婴儿中最常见的慢性肺部疾病.
- 患有BPD的婴儿通常需要像灵活支气管镜 (FB) 这样的诊断程序来评估呼吸道病理.
研究的目的:
- 为了评估被诊断患有BPD的婴儿的呼吸道异常.
- 为了确定上呼吸道阻塞和相关并发症在接受FB的BPD患者的患病率.
主要方法:
- 一项回顾性病例控制研究比较了50名BPD婴儿与150名年龄,性别和种族匹配的对照.
- 分析了灵活支气管镜检查 (FB) 的发现,并发症和手术并发症.
- 数据是从2013年至2023年期间在三级中心进行的手术中收集的.
主要成果:
- 与对照人群相比,BPD患者表现出明显更高的轮状缩症,腺体缩症,语言桃体,小肠狭窄症和气管缩症.
- 在BPD组中,诸如脱和儿科重症监护室 (PICU) 的入院等并发症更为频繁.
- 患有BPD的婴儿有较低的妊娠年龄,出生体重,更长的住院时间和更高的药物使用.
结论:
- 患有BPD的婴儿有很高的结构异常,导致上呼吸道阻塞.
- 在BPD婴儿的灵活支气管镜与并发症的风险增加有关.
- 仔细考虑和准备对于这种脆弱人群的支气管镜手术至关重要.
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