在体外膜氧化后与管相关的深静脉血栓形成:发生率和危险因素
Ngan Hoang Kim Trieu1, Huy Minh Pham1, Tuan Anh Mai2
1From the Department of Critical Care Medicine, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
概括
管相关深静脉血栓症 (CaDVT) 影响越南近四分之一的患者在体外膜氧化 (ECMO) 支持后. 较长的ECMO持续时间增加了CaDVT的风险,这表明在取出管后进行例行查至关重要.
科学领域:
- 心血管医学 心血管医学
- 血液学 血液学 血液学
- 关键护理医学 关键护理医学
背景情况:
- 血栓性并发症,包括管相关的深静脉血栓症 (CaDVT),在体外膜氧化 (ECMO) 期间和之后很常见.
- 之前关于CaDVT发病率和ECMO后风险因素的研究主要集中在高加索人群上,对其他人口结构的理解存在差距.
研究的目的:
- 调查ECMO脱后越南患者中CaDVT的发病率和风险因素.
- 为了突出这一特定患者群体中CaDVT的潜在低诊断.
主要方法:
- 一项在2019年1月至2020年2月期间进行的回顾性研究.
- 包括从ECMO成功奶的患者,通过多普勒超声学进行CaDVT查.
- 收集有关人口统计,ECMO参数和凝血概况的数据.
主要成果:
- 在82名从ECMO断奶的患者中观察到24.7%的CaDVT发病率.
- 在CaDVT组中,肺栓塞只发生在1名患者 (5.6%) 中.
- 在CaDVT和非CaDVT组之间没有发现抗凝,输血或死亡率的显著差异.
结论:
- ECMO支持的持续时间成为发展CaDVT的一个重要风险因素.
- 这项研究强调了考虑在ECMO后的越南患者中进行CaDVT的重要性.
- 建议在管切除后进行CaDVT的常规查,以改善诊断和管理.
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