在儿童进行气管切除术后,有必要进行常规的胸部X射线吗?
Ben Gvili1, Sholem Hack1, Eldar Carmel1
1Department of Otolaryngology-Head and Neck Surgery, Sheba Medical Center, Israel.
概括
儿科气管切除术后的常规胸部X射线通常是不必要的. 这项研究发现,新发现的产量很低,对管理没有影响,这对儿童的常规实践产生了质疑.
科学领域:
- 儿科手术 儿科手术
- 放射学 放射学是一门学科.
- 关键护理医学 关键护理医学
背景情况:
- 气管切除术是一种常见的儿科外科手术程序.
- 常规的术后胸部X射线 (CXR) 是检测肺胸,肺中和管位等并发症的标准实践.
- 由于缺乏强有力的支持性证据,人们越来越多地质疑在儿童中进行常规的气管管切除术后CXR的必要性.
研究的目的:
- 为了评估诊断产量和临床影响的常规后气管切除术胸部X射线在儿科人口.
- 确定常规CXR是否影响患者管理或检测出重大并发症.
主要方法:
- 对189名经过气管切除术的儿科患者进行了回顾性队列研究.
- 审查医疗记录和术后胸部X射线发现.
- 对人口和临床数据的分析.
主要成果:
- 进行了189次儿科气管切除术.
- 在14%的患者中观察到CXR的新发现,其中一半代表了先前存在的疾病的恶化.
- 没有检测到肺胸部,肺中枢或管道错位的病例.
- 胸部X射线结果没有导致患者管理的任何变化.
结论:
- 在儿童中,常规的气管切除术后胸部X射线的产量很低.
- 这种做法对临床管理的影响最小.
- 在儿科患者中常规使用气管管切除术后的CXR是有争议的.
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