两名多发伤患者在术前置于重症监护病房并在体外循环下进行肺叶切除术：病例报告。
Pulmonary lobectomy in two multitrauma patients under extracorporeal circulation placed preoperatively in an intensive care unit: A case report.
作者信息
Faidherbe Clément, De Kock Marc, Simonet Olivier, Vallot Frédéric, Ndjekembo Shango Didier
机构信息
Department of Intensive Care Centre Hospitalier de Wallonie Picarde (CHwapi) Tournai Belgium.
出版信息
Clin Case Rep. 2019 May 20;7(7):1297-1301. doi: 10.1002/ccr3.2200. eCollection 2019 Jul.
Abstract
The clinical course of our two patients highlights the feasibility of using venovenous extracorporeal membrane oxygenation (ECMO) with heparin for multitraumatic patients needing thoracic surgery. Further research is required to determine if surgery can be performed with totally heparin-free vv-ECMO. All ICU teams should become familiar with this technique.
摘要
我们两位患者的临床病程凸显了对需要进行胸外科手术的多发伤患者使用肝素化静脉-静脉体外膜肺氧合（ECMO）的可行性。需要进一步研究以确定是否可以在完全无肝素的静脉-静脉ECMO支持下进行手术。所有重症监护病房团队都应熟悉这项技术。
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