周围静脉动脉外体生命支持管在心脏性休克后的血管并发症
Christos Ilias1, Achim Koch1, Maria Papathanasiou2
1Department of Thoracic and Cardiovascular Surgery, University Hospital Essen, Essen, Germany.
概括
远端 perfusion cannula (DPC) 显著降低了下肢缺血并发症的患者接受体外生命支持 (ECLS) 进行心脏性休克. 实施DPC对于改善肢体输液和ECLS治疗患者的结果至关重要.
科学领域:
- 心血管医学 心血管医学
- 密集护理医学 密集护理医学
- 血管外科 血管外科
背景情况:
- 身体外生命支持 (ECLS) 是耐火性心脏性休克 (CS) 的关键疗法.
- 血管管,通常通过大腿血管,带有下肢缺血的风险.
- 远端 perfusion cannula (DPC) 越来越多地用于缓解这种并发症.
研究的目的:
- 评估远端输液 (DPCs) 对四肢输液的影响.
- 评估DPCs对接受心脏性休克外周ECLS患者6个月生存率的影响.
主要方法:
- 从2012年1月至2018年12月接受外周 (静脉) ECLS的98名心脏性休克患者的回顾性分析.
- 肢体输液并发症和DPC植入和没有DPC植入的患者之间的生存率的比较.
- 对人口统计数据,实验室参数,CS原因,并发症和并发症管理的分析.
主要成果:
- 72%的患者在ECLS植入时接受了DPC;28%没有或后来接受了它.
- 肢体缺血发生在45%的患者中,在DPC组 (31%) 与非DPC组 (81%) 相比,DPC组显著较低 (p < 0.001).
- 六个月生存率总体为28%,DPC组为30%,非DPC组为22% (p = 0.469).
结论:
- 下肢缺血是CS中外围ECLS的重要并发症,特别是在没有使用DPC的情况下.
- 标准化实施DPC可以大大减少严重的四肢并发症.
- 在ECLS患者中,DPC的使用似乎对肢体输液有益.
关键词:
心脏发生的冲击是心脏的冲击.远端 perfusion 管 远端 perfusion 管 远端 perfusion 管 远端 perfusion 管 远端 perfusion 管 远端 perfusion 管 远端 perfusion 管 远端 perfusion 管 远端 perfusion 管身体之外的生命支持.下肢缺血症下肢缺血症是什么意思更多相关视频
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