术后脑创伤后急性肺栓塞的体外膜氧化:一个病例报告
Xiaozu Liao1, Xiaojuan Chen2, Shi Zhong1
1Department of Anesthesiology, Zhongshan City People's Hospital, Zhongshan, China.
Frontiers in cardiovascular medicine
|June 26, 2023
概括
静脉脉外体膜氧化 (VA-ECMO) 成功支持一个患有巨大的肺栓塞的患者在脑创伤后. 这个案例突出了VA-ECMOMO的重点.
科学领域:
- 心血管医学 心血管医学
- 神经外科 神经外科
- 关键护理医学 关键护理医学
背景情况:
- 大规模肺栓塞 (PE) 携带高死亡风险,特别是在手术后.
- 身体外膜氧化 (ECMO) 提供了重要的循环和呼吸支持.
- 静脉ECMO (VA-ECMO) 是大规模PE中血液动力稳定的一个关键干预措施.
研究的目的:
- 报告VA-ECMO在患有大量PE和脑创伤的患者中使用的病例.
- 为了突出成功管理危及生命的PE后神经外科手术.
主要方法:
- 一名脑创伤的患者出现了巨大的PE和心脏骤停.
- 紧急的VA-ECMO被启动用于血液动力学支持.
- 在稳定后,患者接受了氨酸抗凝药.
主要成果:
- VA-ECMO提供了有效的循环支持,导致血液动力学改善.
- 患者在关键事件中幸存下来,并在68天后出院.
- 越来越多的ECMO被考虑用于同时患有脑损伤的患者.
结论:
- VA-ECMO可以为大量PE提供拯救生命的治疗,即使是在神经损伤的患者中也是如此.
- 需要进一步研究ECMO安全性,最佳持续时间和这种患者群体的抗凝药.
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