[体外膜肺氧合插管相关感染的研究进展]。

Q3 Medicine
Kunyu Li, Guodong Gao
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引用次数: 0

摘要

体外膜肺氧合(ECMO)是严重心肺疾病患者常用的过渡性治疗方法。通过静脉插管抽取脱氧血液,氧合后再回流到动脉或静脉系统。动脉或静脉插管存在插管相关感染的风险。一旦发生感染,将延长患者的住院时间,增加死亡率和医疗费用。ECMO 持续时间较长和简化急性生理评分(SAPS)较高是感染的风险因素。目前,感染的主要诊断方法是血液培养。超声引导下经皮插管可减少感染的发生;若仍发生感染,应积极使用抗生素治疗。本文综述了 ECMO 插管相关感染的发生率、危险因素、诊断标准、预防策略、治疗方法等要点,以期为临床工作提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Research progress on the extracorporeal membrane oxygenation intubation-related infection].

Extracorporeal membrane oxygenation (ECMO) is commonly a transitional treatment way used in patients with severe heart and lung problem. Deoxidized blood is extracted through venous intubation, and then returned to the arterial or venous system after oxygenation. There is a risk of intubation-related infection in arterial or venous intubation. Once the infection occurs, it will prolong the patient's length of hospitalization stay, increase the mortality and medical expenses. Longer duration of ECMO and higher simplified acute physiology score (SAPS) were risk factors for infection. At present, the main diagnostic method for infection is blood culture. Ultrasound-guided percutaneous cannulation can reduce the occurrence of infection; if infection still occurs, antibiotics should be actively treated. In order to bring reference for clinical work, this article reviews the incidence, risk factors, diagnostic criteria, prevention strategies, treatment methods and other key points of ECMO intubation-related infection.

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来源期刊
Zhonghua wei zhong bing ji jiu yi xue
Zhonghua wei zhong bing ji jiu yi xue Medicine-Critical Care and Intensive Care Medicine
CiteScore
1.00
自引率
0.00%
发文量
42
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