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资源利用和手术风险在儿科肺炎肠道病的使用
Shachi Srivatsa1, Megan Read2, Taha Akbar3
1Center for Surgical Outcomes and Research, Division of Pediatric Surgery, Department of Surgery, Nationwide Children's Hospital, The Ohio State University Wexner Medical Center, Columbus, OH.
Journal of pediatric surgery
|January 11, 2026
概括
儿童肺炎肠道 (PI) 的手术,不包括死结肠炎 (NEC),是不常见的. 潜在手术的关键指标包括结肠PI,发烧,心率低下和重大并发症,指导治疗决策.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 手术儿科手术小儿科
- 医疗成像医学成像
背景情况:
- 儿童的肺炎肠道 (PI),不包括死性肠球炎 (NEC),通常非手术治疗.
- 对于估计非NEC PI中的手术风险,存在有限的指导方针,使治疗持续时间的决定变得复杂.
研究的目的:
- 评估儿童非NEC PI的管理.
- 确定与这些病例中需要手术干预相关的因素.
主要方法:
- 2010-2023年间被诊断患有PI的儿科患者 (6个月-21岁) 的回顾性审查.
- 排除最近接受过NEC或腹部手术的患者.
- 分析临床数据,成像发现和管理策略.
主要成果:
- 包括102名患者 (139次接触);3.6%需要手术.
- 手术干预与结肠PI,发烧,心率低下和复杂的并发症有关.
- 大多数病例通过包括抗生素和胃减压在内的非手术管理得到解决.
结论:
- 非NEC儿科PI的手术很少见,并且与特定的临床和放射性特征有关.
- 识别高风险指标可以帮助优化治疗持续时间和资源分配.
- 对于大多数儿科非NEC PI病例,非手术治疗是有效的.
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