体外CO2去除治疗期间的顽固性低氧血症：案例报告和文献综述

IF 0.9 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-02-27 DOI:10.1016/j.redar.2025.501769

S. Freitas Martín, J. Veganzones Ramos, S. Díaz Carrasco, L. Suárez Gonzalo

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引用次数: 0

摘要

体外二氧化碳清除作为一种促进保护性机械通气和降低急性呼吸窘迫综合征患者呼吸机所致肺损伤风险的手段，越来越多地应用于临床实践。然而，在某些情况下，由于需要考虑各种病理生理机制，体外二氧化碳去除可使低氧血症恶化。我们报告一例难治性低氧血症，需要中断体外二氧化碳去除治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Hipoxemia refractaria durante la terapia de eliminación extracorpórea de CO2: informe de un caso y revisión de la literatura

Extracorporeal carbon dioxide removal is increasingly used in clinical practice as a means of facilitating protective mechanical ventilation and reducing the risk of ventilator-induced lung injury in patients with acute respiratory distress syndrome. In some cases, however, extracorporeal carbon dioxide removal can worsen hypoxaemia due to various pathophysiological mechanisms that need to be taken into consideration. We report a case of refractory hypoxaemia that required interruption of extracorporeal carbon dioxide removal therapy.

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