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[作为重症哮喘状态强化治疗组成部分的二氧化碳体外清除]

[Extracorporeal elimination of CO2 as a component of the intensive therapy of status asthmaticus].

作者信息

Lukomskiĭ G I, Alekseeva M E, Vaĭsberg L A, Pavliutenkov M G, Sagalovich M A, Sevost'ianov D A, Karasev A B, Pisarevskiĭ A A

出版信息

Anesteziol Reanimatol. 1990 Jul-Aug(4):6-8.

PMID:2077975
Abstract

The first industrial Soviet membrane oxygenator "MOCT-122" was used for extracorporeal CO2 elimination lasting for several (up to 24) hours, in 4 patients with severe asthmatic status. This led to hypercapnia liquidation and optimization of an intensive regimen of controlled lung ventilation, which made it possible to perform effective tracheobronchial lavage in the most favourable conditions. No complications of assisted veno-venous perfusion have been observed as a result of therapeutic procedures performed. Third degree asthmatic status was arrested in all the patients and they were discharged from hospital in a satisfactory condition.

摘要

苏联首个工业用膜式氧合器“MOCT - 122”被用于4例重度哮喘状态患者的体外二氧化碳清除,持续数小时(长达24小时)。这导致高碳酸血症消除,并优化了控制性肺通气的强化方案,从而能够在最有利的条件下进行有效的气管支气管灌洗。治疗过程未观察到辅助静脉 - 静脉灌注的并发症。所有患者的三度哮喘状态均得到控制,出院时情况良好。

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