呼吸衰竭中体外生命支持的长期结果
Filip Burša1,2, Michal Frelich1,2, Peter Sklienka1,2
1Department of Anaesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Ostrava and Faculty of Medicine, University of Ostrava, 17. Listopadu 1790, 708 00 Ostrava, Czech Republic.
Journal of clinical medicine
|August 26, 2023
概括
静脉静脉外体膜氧化 (ECMO) 支持严重呼吸衰竭患者. 虽然幸存者经常恢复日常生活,但长期的健康和生活质量需要仔细考虑.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 支持心肺血管的支持.
背景情况:
- 外体生命支持,特别是静脉静脉外体膜氧化 (ECMO),是严重呼吸衰竭的重要器官支持方法.
- 传统的机械通风可能不足以使这些危急患者的血液气体交换充足.
- 当机械通风无法确保充足的气体交换时,ECMO是首选的方法.
研究的目的:
- 审查患者的长期死亡率和生活质量,这些患者在呼吸衰竭中通过静脉ECMO存活.
- 要强调的是,虽然ECMO改善了气体交换,但主要目标应该是长期的患者结果,而不仅仅是设备断开连接.
- 强调考虑出院后的健康和功能状态的重要性.
主要方法:
- 本研究是对ECMO患者长期结果的现有知识和文献的综述.
- 该审查综合了有关死亡率和生活质量指标的数据.
- 重点放在治疗静脉静脉ECMO治疗呼吸衰竭的患者身上.
主要成果:
- 大约75%的患者在静脉静脉ECMO治疗中存活下来.
- 在治疗后,幸存者可能会经历持续的身体和心理健康问题.
- 很大一部分ECMO幸存者以最小的呼吸限制实现了良好的生活质量.
结论:
- ECMO是一种既定的,尽管高风险的,用于支持严重呼吸衰竭的方法.
- 长期结果,包括死亡率和生活质量,是超出初始生存率的关键考虑因素.
- 尽管存在潜在的并发症,但许多ECMO幸存者可以在功能恢复后重新融入日常生活.
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