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静脉-动脉灌注膜肺支持相关并发症。

Complications associated with membrane lung support by venoarterial perfusion.

作者信息

Ratliff J L, Hill J D, Fallat R J, Parrot J, Tucker H J

出版信息

Ann Thorac Surg. 1975 May;19(5):537-9. doi: 10.1016/s0003-4975(10)64429-3.

DOI:10.1016/s0003-4975(10)64429-3
PMID:1130894
Abstract

A series of patients supported with long-term venoarterial perfusion is presented. Gas exchange was achieved with a membrane oxygenator at flows usually in excess of 50% of the patient's baseline cardiac output. Perfusions were maintained for 7 to 12 days. Two major complications were encountered: thromboembolic myocardial infarction and liquefaction necrosis of the lung. Possible etiologies and suggestions for prevention are discussed.

摘要

本文介绍了一系列接受长期静脉-动脉灌注支持的患者。使用膜式氧合器实现气体交换,流量通常超过患者基础心输出量的50%。灌注维持7至12天。遇到了两个主要并发症:血栓栓塞性心肌梗死和肺液化坏死。讨论了可能的病因及预防建议。

相似文献

1
Complications associated with membrane lung support by venoarterial perfusion.静脉-动脉灌注膜肺支持相关并发症。
Ann Thorac Surg. 1975 May;19(5):537-9. doi: 10.1016/s0003-4975(10)64429-3.
2
Membrane lung perfusion for acute respiratory failure.
Surg Clin North Am. 1975 Jun;55(3):603-12. doi: 10.1016/s0039-6109(16)40638-9.
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Respiratory gas exchange with spiral coil membrane lungs: total cardiopulmonary bypass in adult sheep and clinical experience with long-term perfusion in adult patients.
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Extracorporeal perfusion for acute respiratory failure: recent experience with the spiral coil membrane lung.急性呼吸衰竭的体外灌注:螺旋盘绕膜肺的近期经验
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Prolonged venoarterial bypass with membrane pump oxygenator.使用膜式泵氧合器进行长时间静脉动脉体外循环。
N Y State J Med. 1972 Nov 15;72(22):2804-9.
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Clinical membrane lung support for acute respiratory insufficiency.
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Prognostic factors in the treatment of acute respiratory insufficiency with long-term extracorporeal oxygenation.
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[Ultrastructural study of pulmonary lesions caused by a membrane oxygenator. Comparison with a similar case, which had not received the same treatment].
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Cannulation of the proximal aorta during long-term membrane lung perfusion.长期膜肺灌注期间的升主动脉插管
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Clinical effects of membrane lung support for acute respiratory failure.膜肺支持治疗急性呼吸衰竭的临床效果
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引用本文的文献

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Pulmonary complications associated with veno-arterial extra-corporeal membrane oxygenation: a comprehensive review.肺血管并发症与静脉-动脉体外膜肺氧合:全面综述。
Crit Care. 2020 May 11;24(1):212. doi: 10.1186/s13054-020-02937-z.
2
Mechanical ventilation during extracorporeal membrane oxygenation.体外膜肺氧合期间的机械通气
Crit Care. 2014 Jan 21;18(1):203. doi: 10.1186/cc13702.
3
Extracorporeal membrane oxygenation for respiratory failure.用于呼吸衰竭的体外膜肺氧合
Surg Today. 1995;25(8):690-3. doi: 10.1007/BF00311484.
4
Adult respiratory distress syndrome. A histopathologic study.成人呼吸窘迫综合征。一项组织病理学研究。
Z Rechtsmed. 1979 Aug;83(3):245-52. doi: 10.1007/BF02333327.