当前时代的血管环:这是一个新的疾病需要新的方法吗?
Maya Asir1, Kirsty Brennan2, Jane Heraghty3
1Paediatric Speech and Language Therapy, Evelina London Children's Hospital, London, UK.
概括
血管环,如右或双大动脉,越来越多地在产前被诊断出来. 早期干预是关键,了解哪些婴儿需要手术与保守管理对更好的结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 儿科手术 儿科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 血管环,包括右动脉和双动脉,历史上在童年时呈现出气管-食道压缩症状.
- 由于症状与喘等其他疾病的错误归因,延迟诊断导致了不理想的结果.
- 现在通过超声波进行产前诊断是常见的,将管理转移到症状前阶段.
研究的目的:
- 审查有关隔离血管环的诊断,评估,管理和结果的当前文献.
- 讨论一个机构的途径来管理被诊断患有血管环的患者.
- 要区分需要保守管理的患者和需要手术干预的患者.
主要方法:
- 关于孤立血管环的最新文献的综述.
- 讨论一个机构管理途径.
- 对诊断和评估策略的分析.
主要成果:
- 血管环的产前诊断显著增加.
- 早期干预是可能的,有益的,即使是微妙的症状.
- 区分保守的和手术的候选人对于降低发病率至关重要.
结论:
- 产前诊断允许及时干预血管环病例.
- 一个明确的管理策略对于优化结果和尽量减少长期并发症至关重要.
- 需要进一步了解,以指导保守与外科手术的方法.
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