成人和儿科外皮细胞质炎的区别 二次性至急性鼻炎
John Dewey1, Amani Kais1, John Nguyen2
1Department of Otolaryngology, West Virginia University, Morgantown, USA.
The Annals of otology, rhinology, and laryngology
|June 12, 2025
概括
与儿童相比,患有急性鼻炎 (ARS) 引起的围膜细胞炎的成年人需要更多的手术和更长的住院时间. 神经学并发症在成年人中更为常见,有助于延长护理需求.
科学领域:
- 眼科医生 眼科 眼科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
背景情况:
- 腹膜细胞炎是一种眼和周围组织的感染.
- 急性鼻炎 (ARS) 是围膜细胞炎的常见原因,特别是在儿科患者中.
- 了解临床表现和结果的年龄相关差异对于有效管理至关重要.
研究的目的:
- 为了比较临床特征和成年人与小儿患者的临床特征和结果,这些患者患有ARS的二次性脑周细胞质炎.
- 确定与不同年龄组的疾病严重程度和治疗需求相关的因素.
主要方法:
- 对163名患者 (80名成年人) 的回顾性队列研究,在2012年至2022年期间提交给学术医疗中心急诊室.
- 收集的数据包括病史,治疗,住院时间 (LoS) 和再入院率.
- 进行多变量分析以确定结果的独立预测因素.
主要成果:
- 成年人 (平均年龄为49.2岁) 和儿童 (平均年龄为6.4岁) 的CT隆德-麦凯得分和脑后细胞炎的发病率相似.
- 成年人需要手术治疗 (45% vs 21.7%),经历神经并发症 (11.3% vs 0%),有更长的LoS (6.9 vs 3.6天) 和需要30天的再入院 (16.3% vs 6%).
- 多变量分析证实成人年龄与手术治疗独立相关,但不再是LoS.
结论:
- 与儿童患者相比,患有与ARS相关的围膜细胞炎的成年人面临更高的手术干预率和长时间住院治疗.
- 神经学并发症可能会导致成人患者观察到的LoS增加.
- 年龄是一个重要的因素,影响了对ARS的二次性周周细胞质炎的管理和结果.
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