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活跃的血液和非血液恶性瘤的重症患者体外膜氧化:一篇文献综述

Roberto Rabello Filho¹, Daniel Joelsons¹, Bruno de Arruda Bravim¹

¹Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.

Frontiers in medicine

|November 6, 2024

概括

外体膜氧化 (ECMO) 越来越多地用于危急癌症患者,但仔细的患者选择和多学科决策对于改善结果至关重要.

科学领域:

关键护理医学关键护理医学
在瘤学瘤学.
支持心肺血管的支持.

背景情况:

瘤学和重症监护的进步扩大了生命支持的选择.
身体外膜氧化 (ECMO) 现在在癌症患者中更为常见,尽管此前存在担忧.

研究的目的:

对瘤病患者的ECMO适用情况进行审查.
确定可能从ECMO中受益的子组.
分析ECMO并发症的预后和风险因素.

主要方法:

对临床结果和数据的文献综述.
评估ECMO在不同瘤学人群中的适用性和应用.

主要成果:

在重症癌症患者中,死亡率仍然很高.
由于不确定的预后和感染风险,ECMO的资格具有挑战性.
技术进步和改进的管理正在产生新的临床结果数据.

结论:

对瘤患者来说,仔细考虑ECMO指标至关重要.
多学科团队的决策对于适当的ECMO指示至关重要.
识别特定的患者子组可以优化ECMO的好处.

关键词:

身体外膜氧化氧化血液学血液学血液学重症监护病房的重症监护病房是一个重症监护病房.恶性瘤是一种恶性瘤.瘤学在瘤学方面.

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