相关实验视频
Updated: Jun 30, 2026
07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
在心脏手术后的儿童体外膜氧化
S C Raithel1, D G Pennington, E Boegner
1Division of Cardiovascular Surgery, St. Louis University Medical Center, MO 63110-0250.
Circulation
|November 1, 1992
概括
身体外膜氧化 (ECMO) 为患有耐火性心脏切除术后心力衰竭的儿童提供了心肌恢复的机会. 这种生命支持可以使重症儿科心脏手术患者的生存成为可能.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心血管外科心血管外科
- 关键护理医学 关键护理医学
背景情况:
- 65名儿童 (1天-14岁) 在心脏手术后在1982-1991年间接受了体外膜氧化 (ECMO).
- 44% (67.7%) 的儿童从ECMO中断奶,其中23人 (35.4%) 幸存下来.
研究的目的:
- 为了确定预先ECMO预测小儿心脏手术患者存活率的因素.
- 评估ECMO在促进心肌恢复和存活方面的有效性.
主要方法:
- 对29个ECMO前变量的分析,包括诊断,年龄,性别,血液气体数据,血液动力学和功能.
- 统计分析以确定生存的预测因素.
- 对幸存者的长期随访.
主要成果:
- 在幸存者中观察到手术前的下部系统性心室缩短分数.
- 透析的需要和ECMO支持的持续时间是生存的重要预测因素.
- 在18名长期幸存者中,有17人 (平均随访37.5个月) 处于纽约心脏协会功能类I.
结论:
- 在大多数患有耐火性心脏切除术后心力衰竭的儿科患者中,ECMO有助于心肌恢复.
- ECMO为选择的儿科心脏手术患者提供了生存益处,否则他们无法生存.
相关概念视频
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
01:26Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...