患有严重获得性脑损伤的患者的上呼吸道崩,这些患者接受了气管切除术
Lu Song1, Yong Wang1, Hai Dong Li1
1Rehabilitation Medicine Center, Fuxing Hospital, Capital Medical University, Beijing, China.
The Laryngoscope
|March 26, 2025
概括
上呼吸道崩 (UAC) 影响了21%的气管切除术患者患有严重获得性脑损伤 (sABI). 它的分辨率与提高意识和功能结果有关,有助于脱.
科学领域:
- 神经科学是一个神经科学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 关键护理医学 关键护理医学
背景情况:
- 严重获得性脑损伤 (sABI) 经常需要气管切除术以进行呼吸道管理.
- 上呼吸道崩 (UAC) 是气管切除术患者的潜在并发症,影响脱管.
- 了解UAC病理生理学对于神经康复结果至关重要.
研究的目的:
- 在SABI的气管切除患者中描述UAC的发病率和特征.
- 在这个人群中探索UAC的病理生理学和贡献因素.
- 调查UAC解析和患者预后之间的关系.
主要方法:
- 对经过气管切除术的成年SABI患者的医疗记录和光纤喉 bronchoscopy 的回顾性审查.
- 诊断UAC证实通过气道结构崩在灵感与气管支架闭塞.
- 后勤回归和双变量比较用于识别相关因素和预后指标.
主要成果:
- 在180名 (21.1%) sABI患者中,38名患者表现出UAC,其中30人经历了完全阻塞.
- 崩发生在小喉,口喉,上喉和关节区域.
- UAC分辨率 (n=16) 与提高意识,功能结果,口服和分泌管理相关,在14名患者中促进了脱.
结论:
- 在sABI患者中,UAC是脱管的重要障碍,特别是那些意识受损或脑干参与的患者.
- 与UAC相关的因素包括最小意识状态,不响应的清醒综合征,脑干病变和糖尿病.
- 解决UAC与良好的预后和改进的患者管理策略有关.
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