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儿童心脏外科手术中的早期与晚期输出管:系统性审查
Shajie Ur Rehman Usmani1, Hadiya Javed1, Areeba Sajid1
1Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
World journal for pediatric & congenital heart surgery
|February 28, 2026
概括
儿科心脏手术后的早期输出管 (EE) 可以缩短特定患者的住院时间. 然而,一些研究表明,再输管和死亡风险增加,需要仔细选择患者和进一步研究.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 关键护理医学 关键护理医学
- 系统性审查和元分析
背景情况:
- 早期输出管 (EE) 和即时输出管 (IE) 是儿科心脏外科手术中的新兴策略.
- 这些方法旨在减少住院和重症监护室 (ICU) 的住院时间和术后并发症.
- 在儿童中,先天性心脏病手术对输出管的时间提出了独特的挑战.
研究的目的:
- 系统地审查和评估EE和IE的结果与传统的延迟化 (DE) 相比.
- 评估输出管的策略对ICU停留时间,住院时间,再输入管率和死亡率的影响.
- 综合近期 (2014-2023) 关于儿科心脏手术中输出管时间的研究证据.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 在PubMed,Web of Science和CENTRAL数据库中对2014年至2023年间发表的研究进行文献搜索.
- 22项包括研究 (8359名患者) 的质量评估使用了纽卡斯尔-太华尺度.
主要成果:
- 与DE相比,在一些EE (6项研究) 和IE (2项研究) 中报告了更高的再输入率.
- 在7个EE和7个IE研究中与DE相比,观察到更短的ICU停留时间.
- 与DE相比,5个EE和6个IE研究发现了较短的住院时间.
- 在2项EE研究中,与DE相比,发现死亡率增加.
结论:
- 在选择性儿科心脏手术患者中,EE可能有利,导致更快的恢复和减少资源利用.
- 结果的变化凸显了对标准化程序和仔细选择患者的需要.
- 进一步的前性研究对于优化输出管的策略和患者的治疗结果至关重要.
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