儿童瘤患者气管切除术的指示和结果 - - 一个单一中心的研究
Jonathan Pan1, Bryony Lucas1,2, M Fatih Okcu1,2
1Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.
Pediatric blood & cancer
|November 30, 2024
概括
儿童癌症患者需要气管切除术经历了与一般儿童患者相似的结果. 这项研究提供了关于这个脆弱群体的指示,并发症和脱率的关键数据.
科学领域:
- 儿科瘤学 儿科瘤学
- 临界护理医学 临界护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 患有癌症的儿童往往需要长时间的机械通风,需要气管切除术.
- 专门针对儿童癌症患者的气管切除术结果的文献有限.
- 气管切除术虽然通常是安全的,但却存在罕见但重大风险.
研究的目的:
- 为了描述经过气管切除术的儿科癌症患者.
- 描述这个人群中气管切除术的指示.
- 报告结果,包括停留时间,脱和并发症.
主要方法:
- 医疗记录的回顾性分析.
- 包括所有接受气管切除术的患有癌症的儿科患者.
- 从2004年到2023年在一个单一的,大量的儿童医院进行的研究.
主要成果:
- 确定了65名患者,随访时间中位数为763天.
- 指示包括瘤质量效应 (32%),癌症治疗并发症 (25%),非瘤原因 (22%) 和术后管理 (22%).
- 45%的患者发生了脱;26%的患者经历了并发症 (如气管炎,气管皮),没有与气管切除术相关的死亡率.
结论:
- 儿科癌症患者的气管切除术并发症率和断管切除率与一般儿科患者相比较.
- 这项研究为管理儿童癌症患者的临床医生提供了必要的参考数据,这些患者需要气管切除术.
- 调查结果有助于设定对结果的预期和管理潜在的并发症.
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