儿科患者的脱协议:案例系列研究研究
Luciana Diniz Gomide de Miranda1, Luiza Araujo Alves Borges2, Laura Caldeira Zavaglia2
1Fundação Hospitalar do Estado de Minas Gerais, Hospital Infantil João Paulo II, Serviço de Assistência Integral à Criança Traqueostomizada, Belo Horizonte, MG, Brazil.
概括
这项研究表明,对于儿童来说,安全的脱方案是安全的,其中23%的孩子成功地脱而没有并发症. 该方案针对儿科患者的上呼吸道阻塞和吞问题.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 呼吸系统医学 呼吸系统医学
- 儿科手术 儿科手术
背景情况:
- 气管切除术通常对患有上呼吸道阻塞的儿科患者来说是必要的,这种阻塞通常是由获得的小肠缩引起的.
- 脱管协议对于治疗气管切除术的儿童至关重要,旨在安全地恢复呼吸道.
- 评估吞功能和执行气道纠正是脱之前的关键步骤.
研究的目的:
- 概述了儿科脱协议的各个阶段.
- 报告在住院儿童中应用这种脱管协议的结果.
- 评估脱流程的安全性和有效性.
主要方法:
- 追溯性,观察性研究设计.
- 数据从被脱的儿科患者 (2011-2021) 的医疗记录中收集的数据.
- 分析患者人口统计数据,气管切除术的原因,切除术前的干预措施和结果.
主要成果:
- 在526名儿童中,有23%的儿童成功进行了脱 (n=120).
- 被解的儿童的平均年龄为4岁;69%是男性.
- 脱管前的干预包括气道纠正 (39.5%),扩张 (63.8%) 和内镜纠正 (55.3%). 没有报道任何解封后并发症.
结论:
- 实施的脱协议对儿科患者来说是安全的.
- 按照协议,没有死亡或需要重新取消的情况发生.
- 在研究的儿科人口中,在很大一部分人群中取得了成功的脱.
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