Pub Date : 2020-03-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.03.012
He Zhao, Qiong Wu
Infant spasm is the highest incidence of infantile epilepsy syndrome, the incidence is 0.16/1 000-0.42/1 000, the proportion of male and female children is 6/4.Infantile spasms starts in early childhood, and is hidden, the symptoms of infantile spasms need to be distinguished from other diseases.In the presence of isolated or series of abnormal movements with or without developmental retardation orregression, timely EEG is necessary.And according to the EEG, doctors could give the corresponding drugs to the children as soon as possible to improve the prognosis.Through the correlative literature in recent 10 years, we summarized the causes, the clinical characteristics and the iconography of isnfantile spasms. Key words: Infantile spasm; Head MRI; Electroencephalogram; Antiepileptic therapy
{"title":"Research progress on infantile spasm","authors":"He Zhao, Qiong Wu","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.03.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.03.012","url":null,"abstract":"Infant spasm is the highest incidence of infantile epilepsy syndrome, the incidence is 0.16/1 000-0.42/1 000, the proportion of male and female children is 6/4.Infantile spasms starts in early childhood, and is hidden, the symptoms of infantile spasms need to be distinguished from other diseases.In the presence of isolated or series of abnormal movements with or without developmental retardation orregression, timely EEG is necessary.And according to the EEG, doctors could give the corresponding drugs to the children as soon as possible to improve the prognosis.Through the correlative literature in recent 10 years, we summarized the causes, the clinical characteristics and the iconography of isnfantile spasms. \u0000 \u0000 \u0000Key words: \u0000Infantile spasm; Head MRI; Electroencephalogram; Antiepileptic therapy","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"222-224"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47061754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.03.011
B. Ling, Z. Mei, F. Xu
Objective To evaluate the effect of glucocorticoid therapy in children with sepsis. Methods Databases including PubMed, EMbase, The Cochrane Library, Wanfang Data, VIP and CNKI were searched from inception to July 2019 to collect randomized controlled trials(RCTs)about glucocorticoid for children with sepsis.Two independent researchers screened the literature, extracted data, and assessed the risk of bias in the included studies.Data results were analyzed by RevMan5.3 software for Meta-analysis. Results A total of 7 RCTs, involving 1 359 patients were included.The results of Meta-analysis showed that, compared with the control group, the corticosteroid treatment group did not improve mortality(OR=1.09, 95%CI 0.61, 1.97, P=0.76), length of stay(MD=-3.13, 95%CI -8.29, 2.03, P=0.23), PICU stay time(MD=-2.33, 95%CI -5.03, 0.37, P=0.09), mechanical ventilation time(MD=-2.01, 95%CI -4.66, 0.65, P=0.14), in hospital infection rate(OR=1.58, 95%CI 0.27, 9.21, P=0.61). Conclusion The existing evidence shows that glucocorticoid adjuvant therapy can not effectively reduce the mortality, hospital stay, PICU stay time, mechanical ventilation time, hospital infection rate of children with sepsis, but it is limited by the number and quality of the included studies, which needs further large-scale, multicenter, double-blind, randomized controlled trials to verify. Key words: Glucocorticoid; Sepsis; Children; Meta-analysis
{"title":"The therapeutic effect of glucocorticoids on children with sepsis: A Meta-analysis","authors":"B. Ling, Z. Mei, F. Xu","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.03.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.03.011","url":null,"abstract":"Objective \u0000To evaluate the effect of glucocorticoid therapy in children with sepsis. \u0000 \u0000 \u0000Methods \u0000Databases including PubMed, EMbase, The Cochrane Library, Wanfang Data, VIP and CNKI were searched from inception to July 2019 to collect randomized controlled trials(RCTs)about glucocorticoid for children with sepsis.Two independent researchers screened the literature, extracted data, and assessed the risk of bias in the included studies.Data results were analyzed by RevMan5.3 software for Meta-analysis. \u0000 \u0000 \u0000Results \u0000A total of 7 RCTs, involving 1 359 patients were included.The results of Meta-analysis showed that, compared with the control group, the corticosteroid treatment group did not improve mortality(OR=1.09, 95%CI 0.61, 1.97, P=0.76), length of stay(MD=-3.13, 95%CI -8.29, 2.03, P=0.23), PICU stay time(MD=-2.33, 95%CI -5.03, 0.37, P=0.09), mechanical ventilation time(MD=-2.01, 95%CI -4.66, 0.65, P=0.14), in hospital infection rate(OR=1.58, 95%CI 0.27, 9.21, P=0.61). \u0000 \u0000 \u0000Conclusion \u0000The existing evidence shows that glucocorticoid adjuvant therapy can not effectively reduce the mortality, hospital stay, PICU stay time, mechanical ventilation time, hospital infection rate of children with sepsis, but it is limited by the number and quality of the included studies, which needs further large-scale, multicenter, double-blind, randomized controlled trials to verify. \u0000 \u0000 \u0000Key words: \u0000Glucocorticoid; Sepsis; Children; Meta-analysis","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"216-221"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47607535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.03.007
Meixiu Ming, Q. Shen, G. Yan, G. Lu
Infection is the most common disease in children and a major problem that plagues clinicians.Imaging examination is an important tool for the diagnosis and evaluation of infectious diseases, providing evidences for early diagnosis.Although the imaging can not identify the pathogen, it can provide important clues for the determination of the pathogen, narrow the scope of the suspected pathogens, and provide a basis for the clinician′s empirical treatment. Key words: Infection; Imaging; X-ray; CT; MRI; Signs; Pneumonia; Intracranial infection
{"title":"The value and significance of imaging examination for infection and pathogen judgment","authors":"Meixiu Ming, Q. Shen, G. Yan, G. Lu","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.03.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.03.007","url":null,"abstract":"Infection is the most common disease in children and a major problem that plagues clinicians.Imaging examination is an important tool for the diagnosis and evaluation of infectious diseases, providing evidences for early diagnosis.Although the imaging can not identify the pathogen, it can provide important clues for the determination of the pathogen, narrow the scope of the suspected pathogens, and provide a basis for the clinician′s empirical treatment. \u0000 \u0000 \u0000Key words: \u0000Infection; Imaging; X-ray; CT; MRI; Signs; Pneumonia; Intracranial infection","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"190-197"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43083436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.03.008
Jiujun Li, Yuan Shi
Children′s unique physiological, developmental and psychological attributes make them one of the most vulnerable groups in large-scale flood disasters.Formulating a reasonable and feasible emergency preparedness plan for flood disasters can improve their ability to cope with flood disasters and optimize the outcomes of children suffering from flood disasters.The emergency preparedness plan for children′s flood disaster should cover the allocation and utilization of various resources during disasters, regional cooperative rescue and evacuation of children, ethical problems in treatment under special circumstances, psychological counseling of children, family members and medical personnel.Relevant staff of pediatric emergency rescue need to consider all aspects and make reasonable plans so that the rescue work of children affected by disasters can be carried out in an orderly manner. Key words: Flood disasters; Emergency rescue; Pediatric
{"title":"Emergency rescue and transportation scheme for pediatrics in the background of flood disasters","authors":"Jiujun Li, Yuan Shi","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.03.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.03.008","url":null,"abstract":"Children′s unique physiological, developmental and psychological attributes make them one of the most vulnerable groups in large-scale flood disasters.Formulating a reasonable and feasible emergency preparedness plan for flood disasters can improve their ability to cope with flood disasters and optimize the outcomes of children suffering from flood disasters.The emergency preparedness plan for children′s flood disaster should cover the allocation and utilization of various resources during disasters, regional cooperative rescue and evacuation of children, ethical problems in treatment under special circumstances, psychological counseling of children, family members and medical personnel.Relevant staff of pediatric emergency rescue need to consider all aspects and make reasonable plans so that the rescue work of children affected by disasters can be carried out in an orderly manner. \u0000 \u0000 \u0000Key words: \u0000Flood disasters; Emergency rescue; Pediatric","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"198-204"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46001602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.0003
Jian-qun Jiang, Ling Duan, Daoxue Xiong, Feng Yan, Xiangjun Liu, Jie Yu, Zhe Peng, Chunhui Lang
Objective To improve the diagnostic criteria of suspected cases through investigating the epidemiological and clinical manifestations of confirmed cases of new-type coronavirus infection in children. Methods We retrospective analyzed the epidemiological and clinical manifestations of 6 children with new coronavirus infection diagnosed in Chongqing Three Gorges Central Hospital from February 3, 2020 to February 15, 2020 . Compared with the diagnostic criteria of suspected cases,we summarized the problems encountered in the application of this standard in clinical work and try to put forward Suggestions for improvement. Results Among the 6 children with confirmed cases: 5 males and 1 female; 3 from Hubei Province and 3 from Wanzhou ; 6 cases of clustered onset of the family; Visiting nature: 3 cases of suspected case income, 3 cases of community or outpatient screening . Three cases with fever and / or respiratory symptoms, one of which had symptoms of diarrhea; all children's blood routine and lymphocyte counts were within the normal range; chest CT imaging except for cases No. 1 and No. 5 were in line with typical new coronavirus pneumonia signs. In addition, the remaining 3 patients had abnormal imaging but did not have the characteristics of new coronavirus pneumonia, and 1 case was normal. Comparison results:Only case 1 of all cases fully met the diagnostic criteria, and the remaining cases did not meet the diagnostic criteria of early suspected cases. Conclusion In order to improve the accuracy and practicality of the diagnosis of suspected cases in children, it is recommended to refine and standardize the diagnostic criteria of some suspected cases. Key words: Novel coronavirus; Diagnostic criteria for suspected cases; Children
{"title":"Epidemiological and clinical characteristics of novel coronavirus infection in children: Thoughts on the diagnostic criteria of suspected cases outside Hubei Province/ 中国小儿急救医学","authors":"Jian-qun Jiang, Ling Duan, Daoxue Xiong, Feng Yan, Xiangjun Liu, Jie Yu, Zhe Peng, Chunhui Lang","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.0003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.0003","url":null,"abstract":"Objective \u0000To improve the diagnostic criteria of suspected cases through investigating the epidemiological and clinical manifestations of confirmed cases of new-type coronavirus infection in children. \u0000 \u0000 \u0000Methods \u0000We retrospective analyzed the epidemiological and clinical manifestations of 6 children with new coronavirus infection diagnosed in Chongqing Three Gorges Central Hospital from February 3, 2020 to February 15, 2020 . Compared with the diagnostic criteria of suspected cases,we summarized the problems encountered in the application of this standard in clinical work and try to put forward Suggestions for improvement. \u0000 \u0000 \u0000Results \u0000Among the 6 children with confirmed cases: 5 males and 1 female; 3 from Hubei Province and 3 from Wanzhou ; 6 cases of clustered onset of the family; Visiting nature: 3 cases of suspected case income, 3 cases of community or outpatient screening . Three cases with fever and / or respiratory symptoms, one of which had symptoms of diarrhea; all children's blood routine and lymphocyte counts were within the normal range; chest CT imaging except for cases No. 1 and No. 5 were in line with typical new coronavirus pneumonia signs. In addition, the remaining 3 patients had abnormal imaging but did not have the characteristics of new coronavirus pneumonia, and 1 case was normal. Comparison results:Only case 1 of all cases fully met the diagnostic criteria, and the remaining cases did not meet the diagnostic criteria of early suspected cases. \u0000 \u0000 \u0000Conclusion \u0000In order to improve the accuracy and practicality of the diagnosis of suspected cases in children, it is recommended to refine and standardize the diagnostic criteria of some suspected cases. \u0000 \u0000 \u0000Key words: \u0000Novel coronavirus; Diagnostic criteria for suspected cases; Children","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41495957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.02.013
Li-jun Liu, Xuemei Yang
Objective To investigate the clinical relevant factors associated with transfusion associated necrotizing enterocolitis (TANEC) in order to reduce the incidence of neonatal necrotizing enterocolitis (NEC). Methods The clinical data of neonates admitted to the First Hospital of Lanzhou University and received blood transfusion therapy from January 2017 to June 2018 were collected, including perinatal factors, basic conditions of children, and comorbidities.According to the occurrence or absence of NEC within 48 hours after transfusion, the patients were divided into TANEC group and no-TANEC group.The clinical data of the two groups were compared. Results Univariate analysis showed that there were statistical differences (P<0.05) in the mode of delivery, gestational age, birth weight, neonatal sepsis, patent ductus arteriosus(PDA), neonatal respiratory distress syndrome (NRDS), and anemia.The logistic multivariate analysis revealed that gestational age(P<0.05, OR=0.772, 95%CI: 0.684-0.871), the birth weight(P<0.05, OR=0.236, 95%CI: 0.079-0.711)were protect fators of TANEC, the degree of anemia(mode 1: P<0.05, OR=3.129, 95%CI: 1.003-9.756; mode 2: P<0.05, OR=3.449, 95%CI: 1.024-11.609)and sepsis (mode 1: P<0.05, OR=6.327, 95%CI: 1.732-23.720; mode 2: P<0.05, OR=8.154, 95%CI: 2.122-31.336)were significant risk fators for TANEC. Conclusion The factors leading to the occurrence of TANEC are various.When transfused, the greater the gestational age, the higher the birth weight, the lower the risk of developing NEC.The more severe the combination of neonatal sepsis and anemia, the higher the risk of developing TANEC.Clinically, comprehensive measures should be taken to prevent neonatal anemia.According to the specific conditions of the children and the degree of anemia, a reasonable clinical strategy should be formulated to avoid blood transfusion to reduce the incidence of TANEC and improve the prognosis of the children. Key words: Neonate; Anemia; Blood transfusion; Transfusion-associated necrotizing enterocolitis; Sepsis
{"title":"Analysis of risk factors for neonatal transfusion-associated necrotizing enterocolitis","authors":"Li-jun Liu, Xuemei Yang","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.02.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.02.013","url":null,"abstract":"Objective \u0000To investigate the clinical relevant factors associated with transfusion associated necrotizing enterocolitis (TANEC) in order to reduce the incidence of neonatal necrotizing enterocolitis (NEC). \u0000 \u0000 \u0000Methods \u0000The clinical data of neonates admitted to the First Hospital of Lanzhou University and received blood transfusion therapy from January 2017 to June 2018 were collected, including perinatal factors, basic conditions of children, and comorbidities.According to the occurrence or absence of NEC within 48 hours after transfusion, the patients were divided into TANEC group and no-TANEC group.The clinical data of the two groups were compared. \u0000 \u0000 \u0000Results \u0000Univariate analysis showed that there were statistical differences (P<0.05) in the mode of delivery, gestational age, birth weight, neonatal sepsis, patent ductus arteriosus(PDA), neonatal respiratory distress syndrome (NRDS), and anemia.The logistic multivariate analysis revealed that gestational age(P<0.05, OR=0.772, 95%CI: 0.684-0.871), the birth weight(P<0.05, OR=0.236, 95%CI: 0.079-0.711)were protect fators of TANEC, the degree of anemia(mode 1: P<0.05, OR=3.129, 95%CI: 1.003-9.756; mode 2: P<0.05, OR=3.449, 95%CI: 1.024-11.609)and sepsis (mode 1: P<0.05, OR=6.327, 95%CI: 1.732-23.720; mode 2: P<0.05, OR=8.154, 95%CI: 2.122-31.336)were significant risk fators for TANEC. \u0000 \u0000 \u0000Conclusion \u0000The factors leading to the occurrence of TANEC are various.When transfused, the greater the gestational age, the higher the birth weight, the lower the risk of developing NEC.The more severe the combination of neonatal sepsis and anemia, the higher the risk of developing TANEC.Clinically, comprehensive measures should be taken to prevent neonatal anemia.According to the specific conditions of the children and the degree of anemia, a reasonable clinical strategy should be formulated to avoid blood transfusion to reduce the incidence of TANEC and improve the prognosis of the children. \u0000 \u0000 \u0000Key words: \u0000Neonate; Anemia; Blood transfusion; Transfusion-associated necrotizing enterocolitis; Sepsis","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"134-138"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45469865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.02.006
Yibing Cheng, Qianying Li, S. Qian
Sleep disruption is prevalent in patients of pediatric intensive care unit(PICU). A variety of factors can cause sleep disruption in critical children, which may have an impact on disease recovery and long-term prognosis.Currently, there is still no systematic study on sleep disruption in critical children, and the available evaluation tools on sleep in PICU are limited.The diversified sleep management programs may be effective in promoting sleep. Key words: Sleep disruption; Pediatrics; Intensive care
{"title":"Sleep disruption in pediatric intensive care unit","authors":"Yibing Cheng, Qianying Li, S. Qian","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.02.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.02.006","url":null,"abstract":"Sleep disruption is prevalent in patients of pediatric intensive care unit(PICU). A variety of factors can cause sleep disruption in critical children, which may have an impact on disease recovery and long-term prognosis.Currently, there is still no systematic study on sleep disruption in critical children, and the available evaluation tools on sleep in PICU are limited.The diversified sleep management programs may be effective in promoting sleep. \u0000 \u0000 \u0000Key words: \u0000Sleep disruption; Pediatrics; Intensive care","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"101-104"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41911715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.02.003
Shan He, Z. Zuo
Delirium is an acute, fluctuating state of brain dysfunction characterized by a change in consciousness and a reduced ability to concentrate, maintain, or transfer, which can lead to cognitive or perceptual disorders, hallucinations and sleep-arousal disorders.It cannot be better explained by pre-existing, occurring or developing diseases.At present, its pathogenesis is not clear, and is related to a variety of factors.Early and effective identification and evaluation is the premise, and the clinical practice strategy of prevention and treatment of pediatric delirium needs to be further studied. Key words: Pediatric delirium; Risk factors; Prevention; Treatment
{"title":"Prevention and treatment of pediatric delirium","authors":"Shan He, Z. Zuo","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.02.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.02.003","url":null,"abstract":"Delirium is an acute, fluctuating state of brain dysfunction characterized by a change in consciousness and a reduced ability to concentrate, maintain, or transfer, which can lead to cognitive or perceptual disorders, hallucinations and sleep-arousal disorders.It cannot be better explained by pre-existing, occurring or developing diseases.At present, its pathogenesis is not clear, and is related to a variety of factors.Early and effective identification and evaluation is the premise, and the clinical practice strategy of prevention and treatment of pediatric delirium needs to be further studied. \u0000 \u0000 \u0000Key words: \u0000Pediatric delirium; Risk factors; Prevention; Treatment","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"86-91"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48787568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.02.014
Jiamei Tang
Biliary atresia is a serious congenital malformation that threatens the life of newborns.At present, the treatment of biliary atresia mainly relies on Kasai portoenterostomy which is also named hepatoportoenterostomy to correct the dysplastic biliary system.Cholangitis is the most common and intractable complication after Kasai portoenterostomy.The pathogenesis is still unidentified.Many factors including ascending infection of intestinal bacteria, abnormal development of intrahepatic bile duct, surgical injury, reflux of intestinal contentscan and so on can affect the occurrence and development of the disease.The initial time and frequency of cholangitis can affect the postoperative primary liver function, so it is especially important to diagnose and treat it timely.The diagnosis of post-Kasai cholangitis is lack of specificity, mainly based on clinical manifestations, biochemical abnormalities and surgical history.For intractable cholangitis should consider completing radioisotope hepatobiliary imaging, percutaneous cholangiography and single or double-balloon enteroscopy.The main focus of prevention and treatment lies in preoperative care, surgical improvement and postoperative care, as well as drug prevention during disease follow-up. Key words: Biliary atresia; Post-Kasai cholangitis; Cause; Diagnosis; Prevention; Treatment
{"title":"Progress in the etiology, diagnosis and treatment of cholangitis after biliary atresia Kasai surgery","authors":"Jiamei Tang","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.02.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.02.014","url":null,"abstract":"Biliary atresia is a serious congenital malformation that threatens the life of newborns.At present, the treatment of biliary atresia mainly relies on Kasai portoenterostomy which is also named hepatoportoenterostomy to correct the dysplastic biliary system.Cholangitis is the most common and intractable complication after Kasai portoenterostomy.The pathogenesis is still unidentified.Many factors including ascending infection of intestinal bacteria, abnormal development of intrahepatic bile duct, surgical injury, reflux of intestinal contentscan and so on can affect the occurrence and development of the disease.The initial time and frequency of cholangitis can affect the postoperative primary liver function, so it is especially important to diagnose and treat it timely.The diagnosis of post-Kasai cholangitis is lack of specificity, mainly based on clinical manifestations, biochemical abnormalities and surgical history.For intractable cholangitis should consider completing radioisotope hepatobiliary imaging, percutaneous cholangiography and single or double-balloon enteroscopy.The main focus of prevention and treatment lies in preoperative care, surgical improvement and postoperative care, as well as drug prevention during disease follow-up. \u0000 \u0000 \u0000Key words: \u0000Biliary atresia; Post-Kasai cholangitis; Cause; Diagnosis; Prevention; Treatment","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"139-143"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42149828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-20DOI: 10.3760/CMA.J.ISSN.1673-4912.2020.02.002
F. Xu
In 2018, the Society of Critical Care Medicine(SCCM) and the Chinese Society of Critical Care Medicine(CSCCM) drawn up guidelines for analgesic and sedative treatment in adult patients in the intensive care unit successively.In 2019, the emergency group of Chinese Pediatric Society, Chinese Medical Association published "the experts′ consensus on sedation and analgesia for children in pediatric intensive care unit of China" . The new guidelines have been revised and updated on the basis of the previous ones.Especially, some new concepts have been gradually implemented.This paper seeked to summarize these new concepts and aid clinicians in clinical decision-making in intensive care unit. Key words: Analgesic; Sedative; Guideline
{"title":"Evolving concepts in guidelines for analgesic and sedative treatment","authors":"F. Xu","doi":"10.3760/CMA.J.ISSN.1673-4912.2020.02.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2020.02.002","url":null,"abstract":"In 2018, the Society of Critical Care Medicine(SCCM) and the Chinese Society of Critical Care Medicine(CSCCM) drawn up guidelines for analgesic and sedative treatment in adult patients in the intensive care unit successively.In 2019, the emergency group of Chinese Pediatric Society, Chinese Medical Association published \"the experts′ consensus on sedation and analgesia for children in pediatric intensive care unit of China\" . The new guidelines have been revised and updated on the basis of the previous ones.Especially, some new concepts have been gradually implemented.This paper seeked to summarize these new concepts and aid clinicians in clinical decision-making in intensive care unit. \u0000 \u0000 \u0000Key words: \u0000Analgesic; Sedative; Guideline","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"27 1","pages":"84-85"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45038933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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