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Post-operative complications following adenotonsillectomy in children with severe sleep apnea-hypopnea syndrome. Do they need to be admitted to an intensive care unit?重度睡眠呼吸暂停低通气综合征患儿行腺样体扁桃体切除术后的并发症。他们需要入住重症监护病房吗?
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6
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本文引用的文献

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Impacts of disease severity on postoperative complications in children with sleep-disordered breathing.疾病严重程度对睡眠呼吸障碍儿童术后并发症的影响。
Laryngoscope. 2017 Nov;127(11):2646-2652. doi: 10.1002/lary.26539. Epub 2017 Feb 22.
2
Tonsillectomies and respiratory complications in children: A look at pre-op polysomnography risk factors and post-op admissions.儿童扁桃体切除术与呼吸道并发症:术前多导睡眠图危险因素及术后入院情况分析
Int J Pediatr Otorhinolaryngol. 2016 Sep;88:224-7. doi: 10.1016/j.ijporl.2016.07.017. Epub 2016 Jul 19.
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Obstructive Sleep Apnea: Preoperative Screening and Postoperative Care.阻塞性睡眠呼吸暂停:术前筛查与术后护理。
J Am Board Fam Med. 2016 Mar-Apr;29(2):263-75. doi: 10.3122/jabfm.2016.02.150085.
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Role of EP2 and EP4 receptors in airway microvascular leak induced by prostaglandin E2.EP2和EP4受体在前列腺素E2诱导的气道微血管渗漏中的作用。
Br J Pharmacol. 2016 Mar;173(6):992-1004. doi: 10.1111/bph.13400.
5
A case of negative pressure pulmonary edema in an asthmatic patient after laparoscopic cholecystectomy.一例腹腔镜胆囊切除术后哮喘患者发生负压性肺水肿的病例。
Anesth Essays Res. 2014 Jan-Apr;8(1):86-8. doi: 10.4103/0259-1162.128919.
6
Obstructive sleep apnea in young infants with Down syndrome evaluated in a Down syndrome specialty clinic.在一家唐氏综合征专科诊所对患有唐氏综合征的幼儿阻塞性睡眠呼吸暂停进行评估。
Am J Med Genet A. 2015 Feb;167A(2):324-30. doi: 10.1002/ajmg.a.36903. Epub 2015 Jan 13.
7
Complications of adenotonsillectomy for obstructive sleep apnea in school-aged children.学龄儿童阻塞性睡眠呼吸暂停行腺样体扁桃体切除术的并发症
Int J Pediatr Otorhinolaryngol. 2015 Feb;79(2):240-5. doi: 10.1016/j.ijporl.2014.12.018. Epub 2014 Dec 22.
8
Risk factors for acute pulmonary edema after adenotonsillectomy in children.儿童腺样体扁桃体切除术后急性肺水肿的危险因素
Auris Nasus Larynx. 2014 Aug;41(4):373-5. doi: 10.1016/j.anl.2014.02.002. Epub 2014 Apr 17.
9
Obstructive sleep apnoea in children: perioperative considerations.儿童阻塞性睡眠呼吸暂停:围手术期注意事项。
Br J Anaesth. 2013 Dec;111 Suppl 1:i83-95. doi: 10.1093/bja/aet371.
10
Increased prevalence of sleep-disordered breathing in adults.成年人睡眠呼吸紊乱患病率增加。
Am J Epidemiol. 2013 May 1;177(9):1006-14. doi: 10.1093/aje/kws342. Epub 2013 Apr 14.

儿童腺样体扁桃体切除术后肺水肿

Pulmonary edema post-adenotonsillectomy in children.

作者信息

Ahmed Elaf, Almutairi Nasser K

机构信息

Department of Otorhinolaryngology, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.

出版信息

Saudi Med J. 2018 Jun;39(6):551-557. doi: 10.15537/smj.2018.6.21887.

DOI:10.15537/smj.2018.6.21887
PMID:29915848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6058750/
Abstract

Post-adenotonsillectomy pulmonary edema (pATPE) is a life-threatening condition that necessitates immediate clinical intervention. The early diagnosis and detection of the signs of this condition is vital to its treatment and patient outcome. The purpose of this review article is to present epidemiological data on the prevalence of pATPE, and address the mechanisms of development, types, etiology, pathophysiology, and management of pATPE. In order to minimize postoperative intensive care unit admission rates of pATPE, utilization of preoperative clinical assessment, operative/postoperative monitoring tools, and procedural precautions are discussed.

摘要

腺样体扁桃体切除术后肺水肿(pATPE)是一种危及生命的疾病,需要立即进行临床干预。对该疾病症状的早期诊断和检测对其治疗及患者预后至关重要。这篇综述文章的目的是呈现关于pATPE患病率的流行病学数据,并探讨其发生机制、类型、病因、病理生理学及管理方法。为了尽量降低pATPE患者术后入住重症监护病房的比例,本文还讨论了术前临床评估、手术/术后监测工具的使用以及手术操作注意事项。