儿童内支气管外体:可以预测吗?
Corentin Stavart1, Eddy Bodart2
1Department of Paediatrics, CHU UCL Namur Godinne, Yvoir, Belgium; Department of Paediatrics, Cliniques universitaires Saint-Luc, Brussel, Belgium; Pole of Lung, Nose and Skin (LUNS), Institute of Experimental and Clinical Research (IREC), Université catholique de Louvain (UCLouvain), Brussels, Belgium.
概括
儿童对外体的吸收很常见,特别是在幼儿中. 临床症状如不对称的听觉和放射性发现,如单边的高通胀,有助于诊断,而支气管镜检查对于确认和治疗至关重要.
科学领域:
- 儿科急救医学 儿科急救医学
- 呼吸系统医学 呼吸系统医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 外体吸收 (FBA) 是一个关键的儿科紧急情况.
- 由于各种表现,诊断是具有挑战性的.
- 刚性支气管镜虽然有效,但却有很高的负面反应率.
研究的目的:
- 分析儿童疑似FBA的临床,放射和程序数据.
- 确定关键的诊断预测因素和结果.
- 评估支气管镜在FBA管理中的作用.
主要方法:
- 在30年内对疑似FBA的儿科支气管镜进行了回顾性审查.
- 分析症状,异物特征和随访结果.
- 数据来自CHU UCL Namur, Godinne, 比利时.
主要成果:
- 在99次支气管镜检查中,59%的FBA确诊;在1-3岁儿童中发生率最高.
- 透综合征 (90%的灵敏度) 和不对称的听觉 (98%的特异性) 是强有力的指标.
- 单边高通胀 (88%的特异性) 是最具特异性的放射性征兆;坚果是最常见的FBA.
- 48%的患者在手术期间和35%的患者在手术后出现并发症,没有人死亡.
结论:
- 诊断FBA需要临床检查,病史和成像的结合.
- 刚性和柔性支气管镜对于FBA的诊断和管理至关重要.
- 在6个月的随访期内,所有患者均实现了完全的临床康复.
相关概念视频
Predicting Molecular Geometry
45.8K
VSEPR Theory for Determination of Electron Pair Geometries
45.8K
Prediction Intervals
3.4K
The interval estimate of any variable is known as the prediction interval. It helps decide if a point estimate is dependable.
However, the point estimate is most likely not the exact value of the population parameter, but close to it. After calculating point estimates, we construct interval estimates, called confidence intervals or prediction intervals. This prediction interval comprises a range of values unlike the point estimate and is a better predictor of the observed sample value, y.
However, the point estimate is most likely not the exact value of the population parameter, but close to it. After calculating point estimates, we construct interval estimates, called confidence intervals or prediction intervals. This prediction interval comprises a range of values unlike the point estimate and is a better predictor of the observed sample value, y.
3.4K
End Point Prediction: Gran Plot
1.2K
A Gran plot is used to predict the equivalence volume or endpoint of a potentiometric or acid-base titration without reaching the endpoint. Typically, titration data is collected as a function of the titrant's volume up to a point less than the equivalence volume and then transformed into a linear format. The straight line is extended to the x-axis, indicating the necessary titrant volume to achieve the equivalence point.
For potentiometric titration, the Gran plot is created by plotting...
For potentiometric titration, the Gran plot is created by plotting...
1.2K
Sensitivity, Specificity, and Predicted Value
1.3K
In healthcare diagnostics, laboratory tests play a crucial role in identifying and diagnosing a wide range of medical conditions. However, interpreting test results is not always straightforward. An abnormal test result does not always confirm the presence of a disease, just as a normal result does not guarantee its absence. To assess the reliability of these diagnostic tools, healthcare practitioners rely on two key statistical indicators: sensitivity and specificity.
Sensitivity is the...
Sensitivity is the...
1.3K
Predicting Reaction Outcomes
10.8K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
10.8K
Drug Dosing: Infants and Children
295
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
295


