在左心室辅助器件植入后,胸腔溢液的临床影响
So-Min Lim1, Ah-Ram Kim1, Junho Hyun1
1Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Acute and critical care
|February 2, 2024
概括
在左心室辅助装置植入后,对膜溢液的治疗排水延长了住院时间,但没有增加死亡率. 在LVAD患者中,晚期肺溢与较差的结果有关,需要风险因素管理.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 临界护理医学 临界护理医学
背景情况:
- 关于流 (PE) 和左心室辅助器件 (LVAD) 之间的关联存在有限的研究.
- 了解PE特征和LVAD后的临床影响对于患者管理至关重要.
研究的目的:
- 为了检查LVAD植入后PE的特征.
- 评估PE的临床影响和预后意义及其管理 (治疗性排水).
主要方法:
- 对接受LVAD植入的71名患者的前性分析 (2015年6月至2022年12月).
- 治疗性排水 (TD) 对临床结果的研究预后影响.
- 早期与晚期PE特征和结果的比较;确定了晚期PE发展的因素.
主要成果:
- 治疗性排水 (TD) 组 (n=45) 与没有TD组 (n=26) 相比,经历了更长的病房和总住院时间.
- 晚期PE与更高的再灌输率 (31.8%与4.1%) 和显著更长的住院时间 (67.0与36.0天) 相关.
- 与晚期PE相关的因素包括女性性别,低BMI,CRT和低albuminemia.
结论:
- 在LVAD患者中,PE的TD增加了住院时间,但90天死亡率没有增加.
- 晚期PE表明LVAD患者的临床结果不佳.
- 解决像低albuminemia这样的危险因素对于改善PE的LVAD患者的结果至关重要.
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