儿科声带功能障碍的病因和临床结果:单中心回顾性综述
Mei-Hsuan Ho1, Chih-Yung Chiu2, I-Chun Kuo3
1Division of Pediatric Pulmonology, Department of Pediatrics, Chang Gung Memorial Hospital at Linkou, and Chang Gung University, Taoyuan, Taiwan.
Pediatrics and neonatology
|August 7, 2025
概括
了解儿科声带功能障碍 (VCD) 的原因是关键. 以病因学为基础的管理,针对中枢神经系统或神经系统疾病等疾病,改善了患有VCD的儿童的结果.
科学领域:
- 儿科肺病学 儿科肺病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科重症监护 儿科重症监护
背景情况:
- 声带功能障碍 (VCD) 在儿童中呈现出多样化,可能危及生命的症状.
- 目前根据参与程度对VCD的分类可能不如以病因学为基础的方法那么全面.
研究的目的:
- 根据潜在的病因分析儿科VCD病例.
- 为了比较不同VCD病因组的临床表现,干预措施和结果.
主要方法:
- 通过灵活支气管镜诊断的65名儿科VCD患者的回顾性分析 (2018-2022年).
- 患者数据包括人口统计数据,前体事件,临床/成像发现,干预措施和结果.
- 在四个潜在的病因组中比较特征:中枢神经系统 (CNS) 共同疾病,周围神经系统 (PNS) 疾病,局部事件和异常病.
主要成果:
- 中枢神经系统并发症 (例如,缺氧缺血性脑病变) 与最高的气管切除率 (72.7%) 相关.
- 预后神经系统疾病 (例如,阳性事件,心血管综合征) 通常以保守的方式管理 (70.4%).
- 局部事件 (例如,输管史) 显示了更高的手术干预率和临床康复率 (P < 0.05). 镇静剂是半个特异性病例的一个因素.
结论:
- 针对病因的具体评估和管理对于优化儿科VCD的长期结果至关重要.
- 建议在具有稳定的呼吸功能的患者进行保守治疗.
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