雷波亚是控制大量胃肠道出血的最后一张牌吗?
Fernando Rodríguez-Holguín1, Alexander Salcedo2, Philip Leib3
1División de Cirugía de Trauma y Emergencias, Fundación Valle del Lili, Cali, Colombia; Department of Trauma and Acute Care Surgery, Universidad Icesi, Cali, Colombia.
The Journal of surgical research
|February 18, 2024
概括
复苏性内血管气球阻塞大动脉 (REBOA) 在五名患者中暂时控制了大规模胃肠道出血 (MGB). 虽然REBOA促进了血液静止,但由于出血休克,死亡率仍然很高.
科学领域:
- 紧急医疗 紧急医疗
- 这是血管外科手术.
- 胃肠病学 胃肠病学
背景情况:
- 大规模胃肠道出血 (MGB) 是一个重大管理挑战.
- 复苏性内血管气球阻塞大动脉 (REBOA) 是一种新兴的血液控制技术.
研究的目的:
- 描述REBOA在MGB患者中作为辅助疗法的使用.
- 评估REBOA在控制大量胃肠道出血方面的有效性.
主要方法:
- 对五名需要REBOA的MGB患者的回顾性分析.
- 收集的数据包括患者人口统计,出血严重程度,病因学,管理和结果.
主要成果:
- 所有患者都出现了严重的MGB (GBS 12-17,CPS 5-9).
- 在所有病例中,REBOA的放置增加了缩血压,并提供了暂时的出血控制.
- 闭塞时间在25-60分钟之间,允许进一步的静血干预.
结论:
- 在MGB中,REBOA作为通往最终血液静止的桥梁.
- 该技术提供了血液动力学支持,可以与其他干预同时使用.
- 尽管暂时控制,死亡率仍然很高,主要是由于持续的出血性休克.
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