One slide fits all: The versatility of slide tracheoplasty with cardiopulmonary bypass support for airway reconstruction in children
One slide fits all: The versatility of slide tracheoplasty with cardiopulmonary bypass support for airway reconstruction in children
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DOI：
10.1016/j.jtcvs.2010.08.060
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发表时间：
2011-01-01
影响因子：
6
通讯作者：
Marino, Bradley S.
中科院分区：
文献类型：
--
作者：
Manning, Peter B.;Rutter, Michael J.;Marino, Bradley S.
目的：本研究描述了在儿童气管重建与心肺转流滑动气管成形术的结果，并确定预测不良outcomes.Methods：术前的特点，手术变量和结果的措施，收集了2001年4月和2009年10月之间的儿童接受滑动气管成形术与心肺转流。通过双变量分析确定了不良结局的预测因素。多元回归分析进行了长期住院stay.Results的预测因素：队列包括80例患者（中位年龄，8.7个月，7天-21岁）。48例患者有相关的心脏或大血管畸形; 24例在气管重建时同时修复了心血管畸形。50例（63%）在术后48小时内拔管。中位住院时间为18.5天（范围：7-119天）。在中位随访12个月（范围：4个月-7.8年）期间，23例患者（29%）需要进行显著的气道再干预。有4例死亡，2例早期和2例晚期。在双变量分析中，年龄（P= 0.017）、体外循环时间（P= 0.025）和机械通气时间（P
Objectives: This study describes results of tracheal reconstruction in children with slide tracheoplasty with cardiopulmonary bypass and identifies predictors for adverse outcomes.Methods: Preoperative characteristics, operative variables, and outcome measures were collected for children undergoing slide tracheoplasty with cardiopulmonary bypass between April 2001 and October 2009. Predictors of worse outcomes were identified by bivariate analysis. Multiple regression analysis was performed for predictors of prolonged hospital stay.Results: Cohort included 80 patients (median age, 8.7 months; 7 days-21 years). Forty-eight patients had associated cardiac or great vessel anomalies; 24 had simultaneous repair of cardiovascular anomaly at tracheal reconstruction. Fifty (63%) were extubated within 48 hours after operation. Median stay was 18.5 days (range, 7-119 days). Twenty-three patients (29%) required significant airway reintervention during median follow-up of 12 months (range, 4 months-7.8 years). There were 4 deaths, 2 early and 2 late. In bivariate analysis, age (P=.017), cardiopulmonary bypass duration (P=.025), and duration of mechanical ventilation (P