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食管闭锁长期存活者的呼吸并发症

Respiratory complications in long-term survivors of oesophageal atresia.

作者信息

Dudley N E, Phelan P D

出版信息

Arch Dis Child. 1976 Apr;51(4):279-82. doi: 10.1136/adc.51.4.279.

DOI:10.1136/adc.51.4.279
PMID:1275540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1545950/
Abstract

One hundred of the 192 survivors of repaired oesophageal atresia at the Royal Children's Hospital, Melbourne, aged one year and over on 1 November 1973, were reviewed to determine the frequency of respiratory complications. 78 children suffered from more than 3 attacks of bronchitis per year during the first 3 years of life and 48% of the children aged over 8 years were having more than three attacks per year. Episodes of cough persisting longer than 2 weeks were also common. In the year preceding review, about half the children had more than 3 such episodes. 58 children had been admitted to hospital on at least one occasion for chest infection. It is suggested that recurrent inhalation of milk and food, consequent upon disordered oesophageal motility, is the major factor causing these respiratory complications.

摘要

墨尔本皇家儿童医院对192例食管闭锁修复术后的幸存者进行了回顾性研究,这些幸存者在1973年11月1日时年龄在一岁及以上,共100例,旨在确定呼吸并发症的发生率。78名儿童在生命的前三年中每年患支气管炎超过3次,8岁以上儿童中有48%每年发作超过3次。咳嗽持续超过2周的情况也很常见。在本次回顾前的一年中,约一半的儿童有超过3次这样的发作。58名儿童至少因胸部感染入院一次。研究表明,食管动力紊乱导致牛奶和食物反复吸入是引起这些呼吸并发症的主要因素。

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Aust Paediatr J. 1973 Dec;9(6):289-93. doi: 10.1111/j.1440-1754.1973.tb02238.x.
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Oesophageal atresia: the epitome of modern surgery.食管闭锁:现代外科手术的典范。
Ann R Coll Surg Engl. 1974 Jun;54(6):277-87.
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Wheezing in childhood.儿童喘息
Aust Paediatr J. 1972 Aug;8(4):167-73. doi: 10.1111/j.1440-1754.1972.tb01816.x.