在有限的肺功能的体外生命支持使用:一个叙事审查
João Santos Silva1, Daniel Cabral2, Paulo Almeida Calvinho1
1Serviço de Cirurgia Cardiotorácica, Hospital de Santa Marta, Centro Hospitalar Universitário Lisboa Central, Lisbon, Portugal.
Journal of thoracic disease
|October 23, 2023
概括
身体外生命支持 (ECLS) 为复杂的胸部手术提供了解决方案,当单个肺透气具有挑战性时. 在这些关键过程中,有毒的体外膜氧化是支持肺功能的关键.
科学领域:
- 心血管和呼吸系统的支持系统
- 胸部外科创新 胸部外科创新
- 身体外生命支持技术
背景情况:
- 胸部手术往往涉及复杂的情景,需要心肺呼吸系统的支持.
- 技术的进步导致了各种体外生命支持系统 (ECLS) 的出现.
- 难以或不可能的单个肺通风在胸部手术中提出了重大挑战.
研究的目的:
- 审查胸部外科手术中各种体外生命支持 (ECLS) 模式的应用.
- 突出ECLS作为复杂的手术和通风挑战的解决方案.
- 描述ECLS在不能容忍单肺通风的患者中的使用.
主要方法:
- 使用特定搜索术语进行的文献审查.
- 根据预定义的纳入标准选择的文章.
- 专注于在胸部手术和肺切除中详细研究ECLS的研究.
主要成果:
- 静脉外体膜氧化是肺支最常用的ECLS方式.
- 在肺切除术后的肺切除术,严重的头,呼吸道手术和创伤中,ECLS是有益的.
- 成功的ECLS应用需要多学科的合作,患者的选择,以及精心的外科规划.
结论:
- 对胸部外科医生来说,了解ECLS技术至关重要.
- 应考虑在复杂的胸部病例中使用ECLS,有通风困难或紧急情况.
- 在具有挑战性的手术情况下,ECLS提供了重要的心肺呼吸系统支持选择.
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