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用于急性静脉曲张出血气囊压迫装置中食管气囊连续压力监测的新技术。

Novel technique for continuous pressure monitoring of esophageal balloon in balloon tamponade device for acute variceal bleed.

作者信息

Torres-Gonzalez Brian H, Powell Thomas L, Yee Jennifer, Hunold Katherine M

机构信息

Department of Emergency Medicine The Ohio State University Ohio Columbus USA.

出版信息

J Am Coll Emerg Physicians Open. 2022 Apr 29;3(3):e12725. doi: 10.1002/emp2.12725. eCollection 2022 Jun.

DOI:10.1002/emp2.12725
PMID:35505932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9051862/
Abstract

Acute variceal bleeding is a life-threatening emergency associated with high mortality. Balloon tamponade is required for refractory bleeding to allow stabilization for definitive therapy. Unfortunately, these devices are associated with iatrogenic complications such as esophageal necrosis and perforation. It is imperative to accurately measure the esophageal balloon pressure to limit these complications. We describe a novel technique for both initial and continuous pressure monitoring of the esophageal balloon.

摘要

急性静脉曲张出血是一种危及生命的紧急情况，死亡率很高。难治性出血需要进行气囊压迫以实现稳定，以便进行确定性治疗。不幸的是，这些装置会引发诸如食管坏死和穿孔等医源性并发症。准确测量食管气囊压力以限制这些并发症至关重要。我们描述了一种用于食管气囊初始和持续压力监测的新技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/9051862/ed6f46aa4e60/EMP2-3-e12725-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/9051862/ed6f46aa4e60/EMP2-3-e12725-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777f/9051862/ed6f46aa4e60/EMP2-3-e12725-g001.jpg

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本文引用的文献

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Balloon Tamponade and Esophageal Stenting for Esophageal Variceal Bleeding in Cirrhosis: A Systematic Review and Meta-analysis.球囊填塞和食管支架治疗肝硬化食管静脉曲张出血：系统评价和荟萃分析。
Semin Liver Dis. 2019 May;39(2):178-194. doi: 10.1055/s-0039-1678726. Epub 2019 Mar 25.
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Esophageal balloon tamponade versus esophageal stent in controlling acute refractory variceal bleeding: A multicenter randomized, controlled trial.食管球囊填塞与食管支架治疗急性难治性静脉曲张出血的多中心随机对照研究。
Hepatology. 2016 Jun;63(6):1957-67. doi: 10.1002/hep.28360. Epub 2016 Jan 14.
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腹腔内压力测量用户指南。
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A multicenter evaluation of a compact, sterile, single-use pressure transducer for central venous catheter placement.一种用于中心静脉导管置管的紧凑、无菌、一次性使用压力传感器的多中心评估。
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Am J Gastroenterol. 2003 Mar;98(3):653-9. doi: 10.1111/j.1572-0241.2003.07294.x.
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Scand J Gastroenterol Suppl. 1994;207:11-6. doi: 10.3109/00365529409104188.