吸入氧化的案例报告,用于输血相关的急性肺损伤
Satoshi Kometani1, Ryo Misawa1, Michihiko Kawai1
1Anesthesiology, Yamato Seiwa Hospital, Yamato, JPN.
Cureus
|August 9, 2023
概括
与输血相关的急性肺损伤 (TRALI),一种急性呼吸困扰综合征 (ARDS) 的形式,可以通过吸入的氧化 (iNO) 来管理. 本案例研究表明,iNO在TRALI患者中可能避免体外膜氧化 (ECMO).
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统医学 呼吸系统医学
- 心血管外科心血管外科
背景情况:
- 输血相关的急性肺损伤 (TRALI) 是急性呼吸应急综合征 (ARDS) 的一种严重形式,发生在输血后不久.
- 吸入的氧化 (iNO) 已知会导致选择性肺血管扩张,并在ARDS中暂时改善氧化,但没有显示出死亡益处.
- 心血管外科手术患者有急性呼吸道并发症的风险,包括TRALI.
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