与体外膜氧化相关的大规模气道出血的管理:一个回顾性案例系列研究研究
Hong Zhou1, Qindong Shi2, Litao Guo2
1Department of Respiratory and Critical Care Medicine The First Affiliated Hospital of Xi'an Jiaotong University Xi'an China.
Health science reports
|June 19, 2023
概括
在体外膜氧化 (ECMO) 过程中大规模的气道出血可以通过断开呼吸器和紧内管来管理. 早期支气管动脉栓塞对于预防再出血和确保患者的成功治疗结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 支持心肺血管的支持.
- 干预性放射学 干预性放射学
背景情况:
- 身体外膜氧化 (ECMO) 是严重呼吸衰竭的重要治疗方法.
- 大规模的气道出血是ECMO的一个罕见但危及生命的并发症.
- 对于这种并发症而言,有效的管理策略至关重要.
研究的目的:
- 分析ECMO期间发生大规模气道出血的患者的临床数据.
- 为改善这种并发症的治疗成功率提供参考.
- 评估特定干预措施的有效性.
主要方法:
- 在PubMed,Medline和EMBASE的系统文献搜索案例报告 (2000-2022年).
- 包括一个来自作者机构的案例.
- 分析临床数据,包括治疗持续时间,出血管理和结果.
主要成果:
- 分析了五个病例 (四个成年人,一个新生儿).
- 出血发生在ECMO启动后20分钟至14天之间.
- 在成年人中,切断呼吸机并将内管紧13-72小时,结合支气管动脉栓塞,成功地阻止了所有患者的出血.
- 所有患者都从ECMO中断奶并出院.
结论:
- 在ECMO的支持下,切断呼吸器和紧内管是大量气道出血的可行的治疗方法.
- 早期的支气管动脉造影和栓塞是有效的防止再出血.
- 这种方法改善了ECMO相关的气道出血的管理和结果.
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