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临床和实验室标记器预测儿童创伤中需要输管的需要
Mehmet Akif Dündar1, Sedanur Tekin Can2, Başak Nur Akyıldız1
1Division of Pediatric Intensive Care, Department of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
概括
女性性别,血糖升高和血小板数量下降预测了儿科创伤患者需要紧急气管管道输液的需要. 这些发现有助于在重症监护中做出早期的气道管理决定.
科学领域:
- 儿科急救医学 儿科急救医学
- 创伤重症监护的关键护理
- 航空航道管理的管理.
背景情况:
- 紧急气管管道输入对于管理儿科创伤患者至关重要.
- 识别气道干预的预测标志物对于这种脆弱人群至关重要.
研究的目的:
- 确定临床和实验室标记,预测儿童创伤患者中需要气管管道输液的需要.
- 在儿科重症监护中确定及时干预气道的关键指标.
主要方法:
- 对96名儿科创伤患者 (<18岁) 的观察性队列分析,这些患者被录入儿科重症监护室 (PICU).
- 分析包括人口统计数据,创伤特征,临床参数和实验室标记.
- 后勤回归和ROC分析被用来识别输管预测因素.
主要成果:
- 45.8%的患者需要输管. 女性性别,机动车事故,溺水和多系统创伤与更高的输管率有关.
- 在被直管的患者中观察到血糖,AST,ALT,肌素,前素,INR和乳酸水平升高.
- 确定的独立预测因素是女性性别,血糖升高,血小板数量下降和输血需求. 输管患者在PICU和医院停留时间较长.
结论:
- 女性性别,特定的创伤病因 (MVAs,溺水,多系统创伤) 和实验室标记 (葡萄糖升高,血小板减少) 预测输管治疗的需要.
- 输血需求也是输管的独立预测因素.
- 这些标记物有助于指导儿童创伤护理中早期的呼吸道管理决策.
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