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儿科气管切除术:在121名泰国儿童的10年经验
Nualwan Leelapatharaphan1, Jumroon Tungkeeratichai1, Aroonwan Preutthipan2
1Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand.
International journal of pediatric otorhinolaryngology
|April 16, 2025
概括
泰国儿童的儿科气管切除术显示出高的并发症率,年轻的患者和患有GERD或神经障碍的患者在脱管中面临着挑战. 管理反流可能会改善脱管的成功.
科学领域:
- 儿科手术 儿科手术
- 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:
- 儿科气管切除术是治疗儿童呼吸道问题的重要手术.
- 了解它的流行病学,并发症和结果对于改善患者护理至关重要.
研究的目的:
- 分析十年来儿科气管切除术的流行病学,适应症,并发症,死亡率和结果.
- 确定与儿童未成功脱相关的因素.
主要方法:
- 一个单一中心的案例系列进行.
- 分析了2013年1月至2023年6月期间进行的儿科气管切除术的数据.
主要成果:
- 进行了121次气管切除术,主要指示是上呼吸道阻塞和长时间的输内管道.
- 观察到较高的晚期并发症率 (68%),包括周围腺粒瘤和气管炎.
- 脱成功率为21%,年龄较小 (<2岁),胃食道逆流性疾病 (GERD) 和神经系统疾病与未成功的脱显著相关.
结论:
- 年龄较小的儿童,以及患有GERD和神经相关疾病的儿童,在脱时遇到更大的困难.
- 建议对管理反流症状进行进一步的研究,以提高脱管率.
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