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左心室辅助装置暂时扩张作为儿童患者感染控制策略

Akiko Umetsu¹, Masaki Taira², Moyu Hasegawa¹

¹Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan.

Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs

|March 23, 2024

概括

柏林心脏EXCOR®在一名儿科患者的临时植入成功治疗了感染,允许重新植入. 这种方法为管理危及生命的心室辅助器件感染提供了可行的选择.

科学领域:

儿童心脏病学儿童心脏病学
心血管外科心血管外科
传染性疾病传染性疾病

背景情况:

儿童的异常扩张性心肌病症带来了重大管理挑战.
像柏林心脏EXCOR®这样的心室辅助器件 (VAD) 在桥梁到移植过程中至关重要.
输入管部位感染是一种严重的VAD并发症.

研究的目的:

描述一例由于严重感染而导致的柏林心脏EXCOR®暂时扩张的情况.
评估临时移除设备和随后重新植入装置的疗效.
突出对危及生命的VAD相关感染的潜在管理策略.

主要方法:

一名患有异常扩张心肌病的儿科患者在柏林心脏EXCOR®支持下发展出无法控制的输入管部位感染.
患者接受了VAD的临时扩张.
感染被用全身抗生素和手术除菌治疗,然后在四个月后成功重新植入VAD.

主要成果:

暂时的探索导致严重感染的解决,尽管最初无法繁荣和与导管相关的感染.
患者的病情稳定,允许成功地重新植入柏林心脏EXCOR®.
患者目前在稳定的状态下等待心脏移植.

结论:

暂时的VAD检测可以是一个可行的策略来管理危及生命的设备相关的感染,即使常规的检测标准没有满足.
这种方法,结合适当的抗生素治疗和手术干预,可以促进随后的设备再植入,并改善患者的治疗结果.
谨慎管理孤立的缩功能障碍对于临时扩张策略的成功至关重要.

关键词:

驱逐 (ExCOR) 是一种强烈的驱逐.心脏衰竭是因为心脏衰竭.腹腔室辅助器件设备可以帮助.腹腔室辅助装置的探测方法室腔辅助器件感染的感染情况

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