紧急腹腔切除术和内镜胃口切除术在患者体外膜氧化 (ECMO) 支持
Gonzalo A Gómez1, Eric E Vinck1,2, Rogelio Matallana1
1Department of Surgical Endoscopy & General Surgery, Cardio VID Clinic, Medellín, Colombia.
Perfusion
|September 9, 2024
概括
身体外膜氧化 (ECMO) 可能导致腹部并发症. 在ECMO期间的紧急腹腔切除与高死亡率有关,而内镜胃口切除是这些患者营养支持的安全程序.
科学领域:
- 心血管医学 心血管医学
- 外科胃肠道外科手术
- 关键的护理关键的护理
背景情况:
- 腹腔综合征是ECMO的已知并发症,通常需要紧急腹腔切除术.
- 在ECMO期间长时间的肠道营养可能需要内镜胃口术以获得足够的营养支持.
研究的目的:
- 描述ECMO支持的患者的紧急腹腔切除术和内镜胃口切除术的经验.
- 评估ECMO患者腹部干预的结果.
主要方法:
- 从心血管推中心对患者病史的回顾性审查.
- 在2019年7月至2024年6月期间,对接受紧急腹腔切除术或内镜胃口切除术的ECMO支持患者进行分析.
主要成果:
- 在401名ECMO患者中,27名 (7%) 需要腹部干预.
- 14名患者 (3.5%) 接受了紧急腹腔切除术,13名患者 (3.2%) 接受了内镜胃口切除术.
- 在ECMO上需要通用外科手术的患者中,30天死亡率为33%.
结论:
- 在ECMO患者的紧急腹腔切除术与较低的生存率和较高的30天死亡率有关.
- 在ECMO患者身上,即使使用抗凝药,内镜胃口术也可以安全地进行,出血风险最小.
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