在身体外膜氧化 (ECMO) 期间,多创伤患者的骨科骨折手术:两例病例的报告
Jaquelyn Kakalecik1, Amanda M Frantz2, Michael T Talerico1
1Department of Orthopaedic Surgery & Sports Medicine, University of Florida, Gainesville, FL, USA.
Trauma case reports
|April 18, 2024
概括
身体外膜氧化 (ECMO) 允许在急性呼吸困扰综合征 (ARDS) 患者中手术治疗严重的骨科创伤. 这种方法可以通过实现及时固定,甚至在重症患者中,潜在地改善结果.
科学领域:
- 关键护理医学 关键护理医学
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
背景情况:
- 严重的急性呼吸困扰综合征 (ARDS) 通常需要体外膜氧化 (ECMO).
- 在ECMO治疗中治疗ARDS患者的骨科创伤带来了独特的挑战.
- 传统的管理涉及由于血液动力学不稳定性和肺部问题而导致的损伤的临时化.
研究的目的:
- 调查骨科创伤手术管理的可行性和安全性,在ARDS的ECMO支持的患者中.
- 评估ECMO支持是否绕过了在多创伤患者中延迟固定的需要.
主要方法:
- 两名ARDS多创伤患者的病例系列获得ECMO支持.
- 在ECMO治疗期间进行了骨盆环和大腿骨骨折的外科治疗.
主要成果:
- 两位患者都经历了成功的骨折手术管理,没有并发症.
- 在术后,这两名患者都成功地从ECMO和机械通风中脱胎.
结论:
- 骨科损伤的手术固定对ECMO支持的ARDS患者有潜在的益处.
- 这些发现表明,ECMO可能能够实现更早的外科干预,挑战传统的延迟固定策略.
- 需要进一步的临床研究来验证这些观察.
关键词:
在ECMO中,可以使用ECMO.早期提供适当的护理.身体外膜氧化器的氧化股骨骨折 股骨骨折 股骨骨折整形外科手术 整形外科手术骨盆骨折 骨盆骨折 骨盆骨折 骨盆骨折 骨盆骨折 骨盆骨折多重创伤患者的情况更多相关视频
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