患有先天性心脏手术和心脏导管治疗的患者的周围神经损伤
Julian Hubrich1, Woong Y Hwang2, Viviane G Nasr3
1Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA; Department of Anesthesiology, Mass General Brigham, Brigham and Women's Hospital, Boston, MA; German Heart Center Munich/Paul Philipp Heinisch, Munich, Germany.
Journal of cardiothoracic and vascular anesthesia
|January 21, 2026
概括
周围神经损伤 (PNI) 是儿科心脏手术后的一种并发症. 手术后出现了更严重的PNI,这突显了在这个人群中需要增加注意力.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 神经学 神经学
- 手术并发症 手术并发症
背景情况:
- 周围神经损伤 (PNI) 是心脏手术后未被认可的并发症,影响术后发病率.
- 有限证据表明,在先天性心脏干预后,儿科和青少年群体中存在PNI.
研究的目的:
- 在接受心脏手术或导管治疗的儿科患者中描述和审查PNI.
- 为了确定与PNI相关的潜在风险因素.
- 为了比较手术和导管程序之间的PNI结果.
主要方法:
- 在一个单一的高等学术中心进行回顾性观察性研究.
- 包括儿科,青少年和年轻成人患者,有记录的PNI心脏干预后干预.
- 没有进行任何干预;数据是追溯收集的.
主要成果:
- 确定了30名PNI患者 (19例手术,11例导管).
- 在手术队列中观察到更严重的PNI和未解决的伤害 (42.1%).
- 在手术后,PNI会影响下肢,在导管治疗后会影响上肢;在53.3%的病例中,肢体装置在受影响的侧面被发现.
结论:
- 在儿科心脏病患者中,PNI是一个显著的并发症,手术导致更严重的结果.
- 这种并发症需要在儿科心脏护理中得到更多的认可和关注.
- 对这一群体中PNI的风险因素和预防策略的进一步研究是有必要的.
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