外耳道外体的临床特征和并发症 在ENT急诊室的外体
Kuan-Ting Yeh1, Chih-Yu Hu2,3, Bang-Yan Zhang4,5
1Department of Medical Education, Chang Gung Memorial Hospital, Linkou, Taiwan.
Ear, nose, & throat journal
|October 24, 2024
概括
10岁以下的儿童在耳鼻喉急诊室的异物清除手术中面临更高的并发症风险,包括耳道破伤.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 紧急医疗 紧急医疗
- 儿科耳科 儿科耳科
背景情况:
- 在外部听道 (EAC) 中的外体 (FB) 是耳鼻喉科 (ENT) 紧急病房的常见表现.
- FB删除程序可能会产生并发症,需要识别相关的风险因素.
研究的目的:
- 在接受外耳道外体切除的患者中识别并发症的危险因素.
- 具体来说,比较儿科和成人患者之间的并发症率.
主要方法:
- 在第三级医疗中心的耳鼻喉急诊室治疗EAC FB的457名患者的回顾性分析.
- 患者被分为两个年龄组:<10岁和≥10岁.
- 进行了单变量分析,以评估所有患者和每个年龄组的并发症率.
主要成果:
- 总体而言,8.8%的患者出现并发症,EAC伤是最常见的 (4.4%).
- 10岁以下的患者的并发症率明显高 (13.8%),与10岁以上的患者相比 (5.0%;P = .001).
- 更年轻的年龄组也显示了EAC撕裂的风险增加 (6.7%对2.7%;P=0.039).
结论:
- 年轻的患者 (<10岁) 在EAC外体移除后出现并发症的风险明显更高.
- 在这个儿科组中,考虑镇静或全身麻醉以进行切除可能是有益的,特别是在未能切除直接视觉后.
- 建议进行进一步的研究,以验证这些发现用于临床实践指南.
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