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指令性高碳酸血症作为撤体外膜肺氧合治疗 COVID-19 肺炎的策略。

Directed Hypercapnia as a Strategy to Wean Extracorporeal Membrane Oxygenation in COVID-19 Pneumonia.

机构信息

Baylor Scott & White, Research Institute, Baylor Scott & White The Heart Hospital; Plano, TX.

Baylor Scott & White, Research Institute, Baylor Scott & White The Heart Hospital; Plano, TX.

出版信息

Ann Thorac Surg. 2022 Nov;114(5):e307-e309. doi: 10.1016/j.athoracsur.2022.01.013. Epub 2022 Jan 31.

DOI:10.1016/j.athoracsur.2022.01.013
PMID:35108503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8802146/
Abstract

Coronavirus disease 2019 pneumonia with respiratory failure refractory to maximum medical therapy has been successfully managed with venovenous extracorporeal membrane oxygenation. This report describes a process of using directed hypercapnia in 5 patients to wean them from prolonged extracorporeal support secondary to refractory hypercarbic respiratory failure.

摘要

2019 年冠状病毒病合并呼吸衰竭，经最大程度的药物治疗后仍无法缓解，已成功采用静脉-静脉体外膜肺氧合治疗。本报告描述了在 5 名患者中使用控制性高碳酸血症的过程，这些患者继发于难治性高碳酸血症性呼吸衰竭，需要长时间体外支持，随后成功脱机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaa/8802146/ee4ca663364d/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaa/8802146/ee4ca663364d/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaa/8802146/ee4ca663364d/gr1_lrg.jpg

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