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肠道穿孔的危险因素在儿童肠道内减小的水静电阴道治疗期间
Xiao Bing Tang1, Shu Ting Liu1, Qian Yun Wu1
1Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
Annals of medicine
|October 24, 2024
概括
肠道穿孔在超声波引导的液态阴道减少 (UGHR) 肠道吸收与特定的风险因素有关. 10.5个月以下的婴儿,有血性便或超过17.5小时的症状的婴儿面临更高的风险.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 肠道穿孔是超声波引导的水静电阴道减少 (UGHR) 的一个显著并发症.
- 有限的研究存在于危险因素和临床特征的肠穿孔在UGHR期间儿科内肠接 (P-UGHR).
研究的目的:
- 为了调查与小儿内肠接在UGHR期间的肠穿孔相关的危险因素.
- 确定在P-UGHR期间经历肠道穿孔的患者的临床特征.
主要方法:
- 从2011年1月到2021年12月的医疗记录的回顾性分析.
- 对P-UGHR患者与没有P-UGHR患者的比较.
- 单变量和多变量逻辑回归用于识别风险因素.
主要成果:
- 在4961例内受胎发作中,发现了15例P-UGHR病例.
- P-UGHR的独立风险因素包括年龄≤10.5个月 (OR 3.636),血 (OR 4.189),症状持续时间>17.5小时 (OR 0.188).
- 穿孔发生在上升 (40%),横向 (46.7%) 和下降结肠 (13.3%),没有远端缩.
结论:
- 年龄≤10.5个月,血,症状持续时间>17.5小时是P-UGHR显著的独立风险因素.
- 建议在UGHR期间对患有这些危险因素的儿科患者进行临床警.
- 进一步的研究可能会阐明P-UGHR.的特定机制和预防策略.
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