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Updated: Jul 13, 2025

Integrated Compensatory Responses in a Human Model of Hemorrhage
Published on: November 20, 2016
创伤护理中的ECMO:你需要知道的
Meaghan Flatley1, Valerie G Sams, Mauer Biscotti
1From the Department of Surgery (M.F.), Brooke Army Medical Center, Fort Sam Houston, Texas; Division of Trauma and Surgical Critical Care, Department of Surgery (V.G.S.), The University of Cincinnati Medical Center, Cincinnati, Ohio; Department of Surgery (M.B.III), Columbia University Medical Center, New York, New York; Department of Anesthesiology and Critical Care Medicine (S.J.D.), Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Anesthesiology and Critical Care (A.A.U.), Division of Traumatology, Surgical Critical Care & Emergency Surgery, Department of Surgery (J.W.C.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Leonard Davis Institute of Health Economics (J.W.C.), University of Pennsylvania, Philadelphia, Pennsylvania; and Department of Surgery (J.W.C.), F. Edward Hébert School of Medicine at the Uniformed Services University, Bethesda, Maryland.
体外膜氧化 (ECMO) 越来越多地用于严重受伤的创伤患者呼吸衰竭. 本综述涵盖了ECMO在创伤护理中的指示,管理和结果.
科学领域:
- 关键护理医学 关键护理医学
- 创伤外科 手术 创伤外科
- 支持心肺血管的支持.
背景情况:
- 在创伤患者中,体外膜氧化 (ECMO) 的使用在过去十年中显著增加.
- 应用范围跨越成人,儿科和战斗伤亡人群,主要用于急性低血量呼吸衰竭.
- 静脉 (VV ECMO) 配置是严重的肺损伤或肺切除术后支持的常见情况.
结论:
- 对于一些患有呼吸道损害的重度受伤创伤患者,ECMO提供了至关重要的支持模式.
- 基于证据的管理和早期干预可以改善ECMO创伤患者的结果.
- 需要进一步的研究来完善ECMO协议,并解决创伤护理中现有的误解.
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