在婴儿气管切除术后的长期养结果
Elena Stekolchik1, Md Jobayer Hossain2, J Heather Northam3
1Division of Pulmonology, Nemours Children's Health, Wilmington, DE, USA. Elena.Stekolchik@nemours.org.
概括
在1岁之前需要进行气管切除术的婴儿往往长期依赖于输卵管. 许多人到5岁时仍然需要食支持,突出显著的食障碍.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 新生儿科学 新生儿科学
- 儿科耳鼻喉科 儿科耳鼻喉科
背景情况:
- 需要气管切除术的婴儿往往会遇到食困难.
- 了解长期养结果对于综合护理至关重要.
研究的目的:
- 为了评估在一岁生日前接受气管切除术的婴儿的食结果.
- 为了确定与持续的输卵管依赖相关的因素.
主要方法:
- 养结果的回顾性审查.
- 在16年的时间里接受气管切除术的婴儿队列.
- 在初次出院和5岁时进行评估.
主要成果:
- 其中包括145名婴儿,117名在出院时依赖于输卵管,71名在5岁时.
- 在5岁时与输卵管依赖相关的因素包括心血管并发症,长期的气管切除术依赖,高出生体重,脱时的年龄较大以及更长的妊娠年龄.
- 显著的营养障碍持续到幼儿时期.
结论:
- 需要气管切除术的婴儿在5岁时表现出高频率的食障碍.
- 对这一群体来说,早期识别和管理养问题至关重要.
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