Nhận xét phương pháp cai VA ECMO ở bệnh nhân sốc tim viêm cơ tim tại khoa Hồi sức tích cực, bệnh viện Bạch Mai

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Tác giả: Xuân Cơ Đào, Gia Bình Nguyễn, Tấn Hùng Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại: 959.7 Vietnam

Thông tin xuất bản: Y học Việt Nam, 2017

Mô tả vật lý: 171-174

Bộ sưu tập: Metadata

ID: 536849

Thêm vào giỏ

Abstract: Venous-arterial (VA) extracorporeal membrane oxygenation (ECMO) provides mechanical circulatory support for pabents in cardiogenic shock dute to myocardibs. The weaning process is still highly dependent on the single center's expenence and individual clinical practice. This study, the authors reduced the flow to weaning ECMO for the patents. Purpose: To describe clinical and subclinical characteristics of patients with acute fulminant myocarditis performed to weaning VA ECMO. Subjects and methods: Retrospective and observational study. From hospital databases, 36 patients with diagnosis of acute fulminant myocarditis treated with VA ECMO were found and analyzed. Mean age was 35.2 ± 13 years, 27 patients were women. Results: Cardiac recovery with ECMO weaning was achieved in 32 patients (88.9%), survival to hospital discharge occurred in 31 patients (86.1%). In the study didn't have senous complications as stnske, pulmonary embolism, hemorrhage, complication were observed in 4 patients (11.1%) thrombotic.Nhận xét đặc điểm lâm sàng, cận lâm sàng trên 36 bệnh nhân viêm cơ tim thực hiện VA ECMO. Kết quả cho thấy chức năng tim hồi phục với cai VA ECMO thành công 88,9% và tỷ lệ sống rời khỏi bệnh viện là 16.1%. Không có biến chứng nặng như tai biến mạch não, có 4 bệnh nhân biến chứng huyết khối mạch máu.

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