两例儿科常见骨神经麻与间歇性肺压缩有关
Hiroaki Urata1, Kazunori Aoki1, Hiroshi Sakihama1
1Department of Pediatric Critical Care Medicine, Hyogo Prefectural Kobe Children's Hospital, Kobe, JPN.
Cureus
|March 11, 2025
概括
间歇性气动压缩 (IPC) 可以导致儿童常见的腹膜神经麻,这是一个罕见的并发症. 适当的设备安装和对身体位置等风险因素的认识对于儿童重症监护室的预防至关重要.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 医疗器械 医疗器械
背景情况:
- 常见的部神经麻通常与成年人状头部压缩有关.
- 间歇性肺压缩 (IPC) 用于预防儿科重症监护室 (PICU) 的静脉血栓栓塞 (VTE).
- 之前关于IPC相关神经麻的报道没有包括儿科病例.
研究的目的:
- 在儿童中报告了两例常见的腹部神经麻.
- 调查IPC在儿科患者神经复杂症发展中的潜在作用.
- 突出正确IPC设备管理和儿童风险因素识别的重要性.
主要方法:
- 病例报告详细介绍了两名患有常见经神经麻的儿科患者.
- 临床评估和与IPC在PICU入院期间用于VTE预防的疑似关联.
- 审查潜在的促成因素,包括设备的应用和患者的特征.
主要成果:
- 在一个患有败血症的13岁女孩和一个12岁男孩的声带后固定中,发现了两例常见的腹神经麻.
- 在PICU入院期间使用IPC被怀疑是这两种病例的致病因素.
- 这些发现表明,IPC可能会在儿科患者中构成神经损伤的风险.
结论:
- 常见的神经麻是儿童IPC的潜在并发症,需要保持警.
- 确保正确的IPC设备尺寸和配件,避免压缩长头,至关重要.
- 识别患者特定的风险因素,如身体位置和瘦身,对于预防至关重要.
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