体外循环中的免疫因素:系统回顾

Rivanha Soares, Pinto Saraiva
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引用次数: 0

摘要

血液循环是心血管手术中使用的一种技术,在主动脉疾病、心脏和/或肺移植以及肝脏移植中非常常见。它包括给病人留下一个人工的生命基础,其中通过一个带有一次性装置的设备,可以提供心脏、肾脏和肺的功能,为整个人的身体提供氧气和泵血。目的 对与免疫因素有关的心脏病和心肺旁路术进行系统回顾。采用的方法包括系统性综述,在数据库 PubMed /MEDLINE、科学电子图书馆在线 - SciELO 和谷歌学术中使用健康科学描述符(DeCS)作为研究工具。通过搜索策略选择了葡萄牙语文章,通过描述符的关联筛选,找到了 1 850 篇文章,阅读了摘要,然后阅读了全文,根据纳入和排除标准,获得了 17 篇科学文章。结论是,根据本研究制定的临床标准,最常见的心脏病是心肌疾病和缺血性心脏病。长期使用体外循环的患者会引发全身炎症过程,从而导致个人生活中的风险或问题。体外循环属于受控循环的一种,它与免疫因素有关,因为它会引发免疫系统细胞的激活浪潮,释放炎症介质。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Immunological Factors in Extracorporeal Circulation: A Systematic Review
Circulation is a technology used in cardiovascular surgeries, very common in aortic disorders, heart and/or lung transplants and liver transplants. It consists of leaving the patient with an artificial basis of life, in which they occur through a device with disposable devices, which can supply the functions of the heart, kidneys and lungs, bringing oxygen and pumping blood throughout the individual’s body . The objective Carry out a systematic review on heart disease and cardiopulmonary bypass, related to immunological factors. Methods were used that included a systematic review, where Health Sciences descriptors ( DeCS ) were used as a research tool in the databases PubMed /MEDLINE, Scientific Electronic Library Online – SciELO and Google Scholar. Articles in Portuguese were selected through a search strategy, 1,850 articles were found, being filtered through an association of descriptors, the summaries were read and then the full articles, where, based on the inclusion and exclusion criteria 17 scientific articles were obtained. It is concluded that, according to the clinical criteria established in this study, the most common heart diseases are myocardial diseases and ischemic heart disease. Patients who use extracorporeal circulation for a long time can trigger a systemic inflammatory process that can lead to risks or problems in the individual’s life. Extracorporeal circulation is a category of controlled circulation, it is associated with immunological factors through the triggering of a wave of activation of cells responsible for the immune system, releasing inflammatory mediators.
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