在手术后的儿科重症监护病房中,即时的术后过程
Itay Ayalon1, Shirley Friedman2, Barak Meidan2
1Pediatric Intensive Care Unit, affiliated to the Faculty of Medical and Health Sciences Tel Aviv University, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, 6423906, Tel Aviv, Israel. itayay@tlvmc.gov.il.
概括
儿童手术通常具有较低的直接术后并发症和发作复发率. 焦点损伤切除术和半球手术在儿童中显示出特别有利的结果.
科学领域:
- 儿科神经外科 儿科神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 关键护理医学 关键护理医学
背景情况:
- 手术是耐药儿科的关键治疗选择.
- 了解手术后的直接过程和结果对于患者管理和手术规划至关重要.
研究的目的:
- 描述手术后立即的儿科重症监护室 (PICU) 过程.
- 评估接受各种手术的儿童的短期结果.
主要方法:
- 在一个单一中心进行回顾性观察研究.
- 包括20岁以下的患者进入PICU的后手术 (2018-2022年).
- 分析了人口统计,手术类型,术前因素和术后过程的数据.
主要成果:
- 52名儿童接受了手术 (焦点性损伤切除/切除 [FL],体切除 [CC],半球手术 [HS]).
- 大多数患者在术后的发作负担较低 (85%的患者在第一天没有发作).
- 需要低血动力学 (0%) 和呼吸系统 (6%) 支持率;50%有电解质异常;发烧很常见 (54%),特别是在HS之后.
结论:
- 儿科手术与有限的直接术后发病率有关.
- 手术后的发作负担较低,特别是在FL和HS之后.
- 需要仔细监测电解质失衡和发烧.
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