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怀孕和周产期的体外膜氧化 (ECMO):一个集中的审查
Emily E Naoum1, Erika R O'Neil2, Amir A Shamshirsaz3
1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
身体外生命支持 (ELS) 越来越多地用于患有复杂医疗条件的孕妇患者. 本综述涵盖了ELS对孕产妇护理的指示,考虑和结果.
科学领域:
- 产科麻醉学 产科麻醉学
- 关键护理医学 关键护理医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 孕妇患者的医疗复杂性增加,有助于提高孕产妇的死亡率.
- 母亲心血管疾病,败血症和感染是导致发病和死亡的主要原因,通常涉及呼吸系统衰竭.
研究的目的:
- 审查孕妇和产周患者体外生命支持 (ELS) 的流行病学,说明,考虑,并发症和结果.
- 为产科麻醉医生提供有关ELS在高风险人群中的使用知识.
主要方法:
- 对孕妇和产周患者体外生命支持现有文献的综述.
- 分析指示,产科和医疗方面的考虑,优势和潜在的并发症.
主要成果:
- 身体外生命支持正在扩大对孕妇和周产期患者的应用.
- 识别风险患者和及时升级护理对于考虑ELS至关重要.
结论:
- 产科麻醉医生和产科医生必须对重症孕妇的ELS有所了解.
- 了解ELS对于管理复杂病例中的孕产妇发病率和死亡率至关重要.
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