对一名严重多发性创伤后出现 ARDS 和心脏不稳定的患者进行静脉-动脉-静脉椎体外膜氧合（V-AV ECMO）治疗。

IF 1.1 4区医学 Q4 ENGINEERING, BIOMEDICAL

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-04-18 DOI:10.1007/s10047-023-01393-0

Johannes Heymer, Benjamin Fohr, Daniel Raepple

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引用次数: 0

摘要

体外生命支持（ECLS）在重症创伤患者中的作用未得到充分利用，这主要是由于对抗凝血的担忧。然而，在不进行或仅进行少量全身抗凝治疗的情况下，可以安全地对这些患者进行短期体外生命支持治疗。病例系列显示，分别使用静脉-静脉（V-V）和静脉-动脉（V-A）ECMO 的创伤患者均取得了良好的疗效，但在多发性创伤患者中成功使用静脉-动脉-静脉（V-AV）ECMO 的病例报告却寥寥无几。我们报告了一名 63 岁女性因严重车祸入住急诊科的病例，她接受了多学科方法的成功治疗，包括桥接损伤控制手术和 V-AV ECMO 的恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Veno-arterial-venous extracorporal membrane oxygenation (V-AV ECMO) in a patient in ARDS and cardiac instability after severe polytrauma.

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Veno-arterial-venous extracorporal membrane oxygenation (V-AV ECMO) in a patient in ARDS and cardiac instability after severe polytrauma.

The role of extracorporeal life support (ECLS) in critically ill trauma patients is underutilized, mainly due to concerns of anticoagulation. However, short-term ECLS in these patients can be safely performed with no or minimal systemic anticoagulation. Case series show favorable outcomes in trauma patients with veno-venous (V-V) and veno-arterial (V-A) ECMO, respectively, but there are only a few case reports of successful veno-arterio-venous (V-AV) ECMO in polytrauma patients. We report on a 63-year-old female admitted to our emergency department following a severe car accident who was successfully treated in a multidisciplinary approach, including bridging to damage control surgery and recovery with a V-AV ECMO.

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来源期刊

Journal of Artificial Organs 医学-工程：生物医学

CiteScore

2.80

自引率

15.40%

发文量

审稿时长

6-12 weeks

期刊介绍： The aim of the Journal of Artificial Organs is to introduce to colleagues worldwide a broad spectrum of important new achievements in the field of artificial organs, ranging from fundamental research to clinical applications. The scope of the Journal of Artificial Organs encompasses but is not restricted to blood purification, cardiovascular intervention, biomaterials, and artificial metabolic organs. Additionally, the journal will cover technical and industrial innovations. Membership in the Japanese Society for Artificial Organs is not a prerequisite for submission.