创伤性支气管破裂的体外膜氧化 (ECMO) 辅助手术:三例病例的报告
Anyi Xu1, Sikai Wu2, Minghui Yang2
1Department of Emergency Medicine, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, China.
Journal of thoracic disease
|January 22, 2024
概括
静脉静脉外体膜氧化 (VV-ECMO) 在紧急手术期间成功支持了三名创伤性支气管破裂的患者. 这种肺部保护策略促进了康复,使患者能够成功出院.
科学领域:
- 心胸外科手术 心胸外科手术
- 临界护理医学 临界护理医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 创伤性气管破裂是一种严重的胸部损伤,导致严重的呼吸和循环损害,需要紧急的外科干预.
- 静脉静脉外体膜氧化 (VV-ECMO) 提供肺保护性通风,促进肺休息和充足的氧化,同时最大限度地减少呼吸器诱导的肺损伤.
- VV-ECMO对于患有严重呼吸道损伤的患者来说是一种潜在的拯救生命的技术.
研究的目的:
- 报告VV-ECMO在创伤性支气管破裂需要紧急胸部手术的患者的成功应用.
- 评估VV-ECMO的可行性和结果,作为由于支气管破裂引起的急性呼吸和循环衰竭的支持措施.
主要方法:
- 2019年至2021年期间,三名患有创伤性支气管破裂的重症患者的病例系列.
- 紧急胸部手术是在VV-ECMO支持下进行的.
- 收集的关键数据包括ECMO持续时间,手术时间,术后机械通风和住院时间.
主要成果:
- 所有3名患者都幸存下来,在成功治疗后被送回家.
- 手术持续时间在135-180分钟之间;ECMO支持持续了98-123小时.
- 术后呼吸需要5-8天,住院时间为14-30天. 患者在没有狭窄的情况下显示出良好的肺复扩张,并保持良好的体力活动.
结论:
- VV-ECMO是一种可行且成功的支持性治疗,用于患有创伤性支气管破裂,急性呼吸和循环衰竭的重症患者.
- 经ECMO辅助的紧急手术为患者稳定和程序安全提供了关键时间.
- 需要进行更大规模的长期随访研究,以进一步验证VV-ECMO在这种情况下的应用.
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