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首页> 外文期刊>Brazilian Journal of Otorhinolaryngology >Incidence and endoscopic characteristics of acute laryngeal lesions in children undergoing endotracheal intubation a??
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Incidence and endoscopic characteristics of acute laryngeal lesions in children undergoing endotracheal intubation a??

机译：儿童气管插管急性喉病变的发生率和内镜特征

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INTRODUCTION: Acute laryngeal lesions after intubation appear to be precursors of chronic lesions. OBJECTIVE: To describe the incidence and type of acute laryngeal lesions after extubation in a pediatric intensive care unit (PICU). METHODS: A cohort study involving children from birth to <5 years, submitted to intubation for more than 24 h in the PICU of an university hospital. In the first eight hours after extubation, a flexible fiberoptic laryngoscopy (FFL) was performed at the bedside. Those with moderate to severe abnormalities underwent a second examination seven to ten days later. RESULTS: 177 patients were included, with a median age of 2.46 months. The mean intubation time was 8.19 days. Seventy-three (41.2%) patients had moderate or severe alterations at the FFL, with the remaining showing only minor alterations or normal results. During follow-up, 16 children from the group with moderate to severe lesions developed subglottic stenosis. One patient from the normal FFL group had subglottic stenosis, resulting in an incidence of 9.6% of chronic lesions. CONCLUSION: Most children in the study developed mild acute laryngeal lesions caused by endotracheal intubation, which improved in a few days after extubation.
机译：简介：插管后的急性喉部病变似乎是慢性病变的前兆。目的：描述小儿重症监护室（PICU）拔管后急性喉部病变的发生率和类型。方法：一项队列研究，涉及从出生到<5岁的儿童，在大学医院的PICU中进行了超过24小时的插管。拔管后的头8个小时，在床旁进行柔性纤维喉镜检查（FFL）。那些中度至重度异常的患者在7至10天后接受了第二次检查。结果：纳入177例患者，中位年龄为2.46个月。平均插管时间为8.19天。 73名（41.2％）患者在FFL出现中度或重度改变，其余患者仅表现出轻微改变或正常结果。在随访期间，中度至重度病变组的16名儿童发展了声门下狭窄。正常FFL组的一名患者患有声门下狭窄，导致9.6％的慢性病变发生率。结论：该研究中的大多数儿童因气管内插管引起轻度急性喉部损伤，拔管后几天内症状有所改善。

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