腹膜透析导管:对新生儿患者结果的审查
Sarah D King1, Michele Mills2, Zubin J Modi3
1Section of Pediatric Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
The Journal of surgical research
|July 18, 2025
概括
在新生儿中放置腹腔透析 (PD) 导管是可行的和安全的,尽管漏水和腹腔炎等并发症很常见. 观察到高生存率,需要很少的导管更换.
科学领域:
- 新生儿医学 新生儿医学
- 儿科脏病学 儿科脏病学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 腹腔透析 (PD) 通常是儿科患者首选的置换疗法.
- 关于PD导管安置的安全性和有效性的数据有限,特别是在新生儿群体中.
研究的目的:
- 评估新生儿PD导管安置的可行性,安全性和结果.
- 确定常见的并发症和影响其发生的因素,在这个年龄组.
主要方法:
- 在2015年1月1日至2023年12月31日期间接受PD导管安置的新生儿 (≤4周大) 的回顾性图表审查.
- 排除患有初级先天性心脏病的患者.
- 收集和分析人口,临床和程序数据,结果包括并发症和存活率.
主要成果:
- 21名新生儿 (81%男性,中位妊娠年龄为36周) 接受了PD导管安置.
- 常见的初级诊断包括代/代 (43%) 和自身逆性多囊性病 (24%).
- 经常出现泄漏 (44%) 和腹膜炎 (38%) 等并发症,早期使用导管 (在72小时内) 与较高的泄漏率和过早切除有关.
结论:
- 在新生儿中,PD导管安置是一种可行的和安全的手术.
- 放置后的并发症,特别是泄漏和腹膜炎是常见的,但不会显著影响整体存活率.
- 优化最初使用PD导管的时间可能会减少泄漏并发症.
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