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在接受心脏手术的儿科患者中脑气栓塞
Evyatar Hubara1,2, Iris Motro Feingold3, Yelena Skourikhin4
1Pediatric Intensive Care Unit, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel. Evyatar.hubara@sheba.health.gov.il.
Journal of cardiothoracic surgery
|December 20, 2024
概括
儿童心脏手术患者可能会经历脑气栓塞,这是一个严重的并发症. 这个案例系列详细介绍了六名儿童,强调了各种神经学结果,并提出了这种罕见事件的管理准则.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 神经外科 神经外科
- 心血管外科心血管外科
背景情况:
- 大脑空气栓塞是心肺绕道 (CPB) 过程中的严重并发症.
- 它带来了显著的神经风险,特别是在接受心脏手术的儿科患者中.
研究的目的:
- 介绍一系列儿科患者在CPB期间经历大脑气栓塞的病例.
- 详细介绍这些案件的呈现,管理和结果.
- 在这个人群中提出疑似脑空气栓塞的管理准则.
主要方法:
- 进行了一系列案例报告.
- 医疗记录的回顾性审查确定了在CPB心脏手术期间 (2009年1月至2023年12月) 患有脑气栓塞的儿科患者.
主要成果:
- 六名儿科患者 (8个月至16岁) 在心脏手术期间经历了脑气栓塞.
- 五个病例涉及来自右心室剖析的催引起的栓塞,通常在单心室生理学患者中.
- 发作是主要的表现,神经结果从最小的缺陷到实质性损伤.
结论:
- 这个案例系列记录了儿科心脏手术期间脑气栓塞的发生情况.
- 这项研究强调了受影响儿童的神经结果的范围.
- 为识别和治疗这种罕见并发症提供了指导方针.
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