儿科炎症多系统综合征暂时与葡萄牙儿科重症监护室的SARS-CoV-2-病例系列有关
João Miranda1, Marta Grilo1, Carolina Baptista1
1Department of Pediatrics, Pediatric Intensive Care Unit, Centro Hospitalar Universitário São João, Porto, Portugal.
Journal of pediatric intensive care
|December 4, 2024
概括
与SARS-CoV-2相关的儿科炎症多系统综合征 (PIMS-TS) 在儿童中引起严重的炎症和器官功能障碍. 早期的PICU入院和多学科护理对于康复至关重要,在这个队列中没有观察到死亡率.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 传染病 传染病 传染病
- 心脏病学 心脏病学
背景情况:
- 暂时与SARS-CoV-2相关的儿科炎症多系统综合征 (PIMS-TS) 是一种严重的疾病,影响儿童感染后.
- 了解PIMS-TS的特点和管理对于改善结果至关重要.
研究的目的:
- 描述严重受影响的PIMS-TS儿童的临床特征.
- 概述儿科重症监护室 (PICU) 的临床和治疗方法.
主要方法:
- 对符合PIMS-TS标准的12名儿童的临床,治疗和结果数据的回顾性分析.
- 在葡萄牙一所大学三级医院收集了3个月的数据.
主要成果:
- 在12名儿童中,有7名儿童需要进入PICU,平均年龄为13岁.
- 所有人都出现了发烧,休克,心脏干扰 (包括左心室低运动) 和炎症标志物升高.
- 治疗包括抗生素,IVIG,类固醇,阿司匹林和支持性护理; 5名患者需要机械通风. 平均PICU停留时间为7.1天;没有死亡率.
结论:
- 在PICU环境中,PIMS-TS需要迅速,多学科的管理.
- 虽然这个队列没有显示死亡率,但风险因素和长期影响需要进一步调查.
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