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在患有脑性麻的儿科患者中进行气管切除术安置的指示
Elizabeth Fisher1, Taher Valika2
1Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
International journal of pediatric otorhinolaryngology
|January 10, 2025
概括
患有脑性麻 (CP) 的儿童由于呼吸问题经常需要气管切除术,长时间通风是主要原因. 这些患者的脱率显著较低,这表明需要进一步研究.
科学领域:
- 儿科肺病学 儿科肺病学
- 儿科神经学 儿科神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 大脑 (CP) 是儿童的主要神经肌肉疾病,增加了他们患呼吸困扰和潜在的气管切除术的风险.
- 现有的关于神经障碍儿童气管切除术指示的研究缺乏对CP人群的具体关注.
研究的目的:
- 确定CP的儿童中气管切除术安置的主要指示.
- 确定这个群体中常见的呼吸道阻塞部位.
- 为了评估经过气管切除术的患有脑脊髓疾病的儿童中断管的发生率.
主要方法:
- 在一个中心进行了回顾性图表审查,分析了2005年至2023年期间需要气管切除术的CP患者.
- 根据气管切除术的主要原因对患者进行分类.
- 收集了空气道阻塞地点和脱管日期的数据.
主要成果:
- 在接受气管切除术的122名符合条件的CP患者中,81%因长时间输管或依赖BiPAP而接受了它.
- 常见的呼吸道阻塞包括上腔 (23%),舌底 (12%) 和气管支气管 (24%).
- 脱率很低,只有3%的患者被脱.
结论:
- 脊髓炎儿童的气管切除术通常是由于非侵入性通风失败的结果,通常是在年轻时进行的.
- 在这个人群中观察到各种各样的气道阻塞部位.
- 低的脱管率凸显了对患有CP的儿童最佳气管切除术指示和脱管标准的进一步调查的需要.
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