在患有先天性心脏病的婴儿中延迟关闭:胸壁胀可以指导时间吗?
Tavenner T Dibert1, Jeffrey Phillip Jacobs1, Yuriy Stukov1
1Congenital Heart Center, University of Florida, Gainesville, FL, USA.
World journal for pediatric & congenital heart surgery
|July 23, 2025
概括
放射测量可以帮助确定心脏手术后婴儿延迟胸关闭的最佳时间. 胸部放射性胀率量化了胀,有助于临床决策.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 胸部成像 胸部成像
- 术后管理 术后管理
背景情况:
- 延迟关闭是复杂的先天性心脏手术后新生儿和婴儿的常见做法.
- 确定胸关闭的最佳时间对于患者的康复和结果至关重要.
研究的目的:
- 评估胸部放射测量的实用性,以指导延迟胸关闭的时间.
- 评估婴儿心脏手术后胸壁胀的自然史.
主要方法:
- 对103名新生儿和婴儿 (<3个月) 进行了以延迟胸关闭的心脏手术的回顾性分析.
- 使用胸部X射线来量化胸部胀的胸部放射性胀比率 (TRER) 的计算.
- TRER测量是在手术前,手术后立即进行的,并且每天进行,直到胸关闭.
主要成果:
- 胸壁的峰值发生在术后的第一天和第二天.
- 胸关闭通常发生在术后第1至第5天之间,大多数关闭是在第2和第3天.
- 与术后0天相比,关闭时的TRER平均值显著较低 (P < .001).
结论:
- 胸部放射性水腫比率提供了可量化的胸壁水腫的量度.
- 这个比率可以作为一个有价值的工具,帮助临床医生做出明智的决定,关于延迟乳房关闭的时间在婴儿.
- 了解的自然进展有助于优化手术时间和患者护理.
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