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儿童肺水症手术后发病的结果和危险因素
Zied Chaari1, Saloua Ammar2, Aymen Ben Ayed1
1Department of Thoracic and Cardiovascular Surgery, University of Sfax-Habib Bourguiba University Hospital, Sfax, Tunisia.
The Journal of pediatrics
|October 20, 2024
概括
保守性手术是儿童肺水症 (LH) 的首选治疗方法,死亡率低. 识别并发症的危险因素可以改善患有这种寄生性肺病的儿童的手术结果.
科学领域:
- 儿科手术 儿科手术
- 寄生性疾病 寄生性疾病
- 胸部外科手术 胸部外科手术
背景情况:
- 肺部水性增生 (LH) 是一种影响肺部的寄生虫感染,主要是由 Echinococcus granulosus引起的.
- 儿科肺部水症的手术治疗需要仔细考虑结果和危险因素.
研究的目的:
- 评估儿童肺部水症手术干预的结果.
- 为了确定与手术后发病率相关的独立风险因素,在为肺水症进行手术的儿科患者.
主要方法:
- 在35年间进行了一项回顾性分析研究,包括肺水症的所有儿科手术病例.
- 使用单变量和多变量分析来确定术后并发症的预测因素.
主要成果:
- 这项研究包括456名儿童,他们接受了544项手术,为704名肺水症囊.
- 在98.5%的病例中进行了保守性手术,并发症率为24.4%,死亡率为0.2%.
- 疾病的独立风险因素包括解剖肺切除,ICU住院,复杂的囊,更大的囊大小 (≥60毫米),多个支气管,肝液,和.
结论:
- 保守的肺节约手术是儿科肺部水症的最佳治疗方法,与低死亡率有关.
- 了解已识别的风险因素可以指导临床管理,并提高患有肺水症的儿童的术后结果.
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