在肺移植中使用流量控制通风去除二氧化碳:一个案例报告
A Erkılınc1, P Karaca Baysal2, M E Gurcu1
1Department of Anesthesiology and Reanimation, University of Health Sciences, Kosuyolu High Specialization Education and Research Hospital, Kartal, Istanbul, Turkey.
Transplantation proceedings
|February 6, 2026
概括
流控通风可能有助于在肺移植期间管理严重的呼吸道酸化. 这种策略有可能避免囊性纤维化患者体外膜氧化.
科学领域:
- 心胸外科手术 心胸外科手术
- 肺部病理学 肺部病理学
- 麻醉学 麻醉学
背景情况:
- 肺移植是末期肺病的主要治疗方法.
- 术后护理的进步改善了移植结果.
研究的目的:
- 在双边肺移植期间报告严重的手术内呼吸道酸性病例.
- 为了评估流量控制通风在管理这种并发症的有效性.
主要方法:
- 一名患有囊性纤维化症的患者接受了双边肺移植.
- 在过渡到单肺通风后发展出严重的呼吸系统酸性疾病.
- 在6小时的流量控制通风中进行管理.
主要成果:
- 流量控制通风改善了二氧化碳的排放.
- 避免了需要体外膜氧化的需要.
- 患者耐受了使用这种通风策略的手术.
结论:
- 流量控制通风可以成为一种可行的替代体外膜氧化的替代方案.
- 它可能对被选中的肺移植接受者具有手术内呼吸不全有好处.
- 这一案例突出了潜在的辅助通风策略.
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