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在先天双管阻塞手术后与术后并发症相关的因素:一项回顾性研究
Andreea Moga1,2, Radu Bălănescu1,2, Laura Bălănescu1,2
1Department of Pediatric Surgery, "Grigore Alexandrescu" Clinical Emergency Hospital for Children, 011743 Bucharest, Romania.
Medicina (Kaunas, Lithuania)
|October 26, 2024
概括
患有先天性十二指甲管阻塞和低阿巴格得分 (低于8) 或神经/肺部问题的婴儿面临更高的并发症风险. 其他异常和出生体重不是这些结果的预测因素.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
- 新生儿护理 新生儿护理
背景情况:
- 十二指肠缩和狭窄是婴儿肠道阻塞的主要原因.
- 相关异常和术后并发症显著影响受影响儿童的生存率.
研究的目的:
- 分析相关的先天性异常和临床因素对先天性十二指管阻塞的婴儿手术后并发症的影响.
- 为了确定影响结果的预后因素,在患有十二指甲膜阻塞的儿科患者.
主要方法:
- 在2010年1月至2023年8月期间,对74名婴儿和儿童进行了因先天十二指肠阻塞而接受治疗的回顾性分析.
- 收集的数据包括先天性异常,阿普加尔分数,出生体重,手术技术和手术后并发症类型.
主要成果:
- 相关异常常见,包括心脏 (33),唐氏综合征 (13),神经 (11).
- 发生了早期 (21) 和晚期 (6) 的术后并发症,其中败血症 (7) 和粘性肠道阻塞 (7) 是值得注意的.
- 亚帕尔分数低于8,神经和肺部异常令人惊地与术后并发症增加有关.
结论:
- 低阿帕格分数和神经和肺部问题等特定的并发症是先天十二指管阻塞手术后并发症的危险因素.
- 其他先天性异常,低出生体重和入院时的年龄等因素没有被发现是显著的预后指标.
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