关于尼日利亚儿科水脑病的概述:系统性审查
Sean C Holden-Kapshuck1, Temitayo O Ayantayo2, Amos O Adeleye1
1Duke University School of Medicine, Durham, NC, USA.
概括
尼日利亚的儿科水头治疗需要及时进行手术,主要是腹腔关节切换 (VPS),以改善神经结果. 通过成像进行早期诊断对于减少受影响儿童的并发症和死亡率至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 神经外科 神经外科
- 系统审查是系统的审查.
背景情况:
- 水脑是一种常见的儿科神经疾病,是由脑脊液的异常积累引起的.
- 原因是先天性或获得的,需要早期手术干预以获得最佳结果.
研究的目的:
- 从1962年到2023年,在尼日利亚系统地审查头病.
- 分析患者的人口统计,临床表现,诊断,干预和结果.
主要方法:
- 按照PRISMA指南进行系统审查.
- 来自七个数据库的87项研究 (3380名患者) 的数据综合.
- 提取有关人口统计,临床特征,诊断 (超声波,CT),干预 (VPS) 和结果的数据.
主要成果:
- 平均年龄为25.52个月,男性与女性的比例为1.3:1;大脑症是最常见的表现.
- 在44%的患者中,先天性原因 (水道狭窄);大多数患者在生命的3个月内出现.
- 最常见的干预措施是心室关节切换 (VPS);报告了49例死亡.
结论:
- 及时的手术干预,特别是VPS,对于治疗儿科水头症至关重要.
- 通过CT早期诊断和及时治疗可以减少并发症和死亡率.
- 在尼日利亚,改善诊断和护理的机会至关重要.
相关概念视频
Pharmacokinetics in Pediatric Patients: Drug Distribution
254
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
254
Pharmacokinetics in Pediatric Patients: Drug Excretion
212
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
212
Aneurysm IV: Nursing Management
380
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
380
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
246
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
246
Aneurysm II: Clinical Manifestations and Diagnostic Studies
299
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
299


