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危重新生儿转运的进展 被引量:7
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作者 陈孟雨 高喜容 吴运芹 《中国小儿急救医学》 CAS 2017年第7期541-545,共5页
通过文献检索,对新生儿转运的研究进展进行总结和分析,以了解国内外新生儿转运研究的现状。对目前应用的多种转运危重评分体系进行评价。宫内转运被认为是最安全的转运方式,提倡对高危产妇进行宫内转运。建议父母参与到转运过程中,... 通过文献检索,对新生儿转运的研究进展进行总结和分析,以了解国内外新生儿转运研究的现状。对目前应用的多种转运危重评分体系进行评价。宫内转运被认为是最安全的转运方式,提倡对高危产妇进行宫内转运。建议父母参与到转运过程中,并将病情稳定的患儿转回当地医院继续治疗,推广以家庭为中心的治疗模式。转运中ECMO、亚低温等先进设备在国外已得到应用。推荐在转运途中应用呼吸功能监测仪监测呼吸,可提供呼吸波各项参数,识别气漏、意外脱管、自主呼吸等。 展开更多
关键词 新生儿转运 危重评分 宫内转运 以家庭为中心 移动式ecmo 亚低温治疗 呼吸功能监测仪
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Veno-Venous Extra-Corporeal Membrane Oxygenation (ECMO) in a Child with Hemoptysis and Fontan Circulation
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作者 Claudine Kumba Gauthier Loron +7 位作者 Anais Mons Claude Marcus Francis Grossenbacher Nathalie Bednarek-Weirauch Vito Giovanni Ruggieri Emre Belli Jean-Marc Malinovsky Pierre Mauran 《Open Journal of Pediatrics》 2020年第2期280-287,共8页
<u>Background:</u><span style="font-family:Verdana;"> Extracorporeal</span><span style="font-family:;" "=""> </span><span style="font-fami... <u>Background:</u><span style="font-family:Verdana;"> Extracorporeal</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">membrane oxygenation is a rescue life support technique used in life threatening</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">conditions of refractory respiratory and/or cardiac distress. Indication for extracorporeal life support in children</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">depends on age and varies from pulmonary to cardiac pathologies. In some cases</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> it may be used as a bridge to a</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">therapeutic procedure.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">We described here the management of respiratory failure due to hemoptysis in a child with a Fontan circulation</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">and veno-venous extracorporeal membrane oxygenation which served as a bridge to angio-embolization. Hemoptysis can be a life threatening condition which can lead to hypovolemic shock and impaired alveolar gas</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">exchange. The latter can result in respiratory failure and consequent asphyxia.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">When hemoptysis occurs in a patient with a univentricular</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">heart and a Fontan circulation, management of this</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">clinical situation can be challenging due to the particular physiology of the latter. Total cavopulmonary connection is a palliative surgical repair which constitutes Fontan circulation as a definitiv 展开更多
关键词 Extracorporeal Membrane Oxygenation Fontan Circulation Univentricular Heart Tricuspid Atresia Children One Lung Ventilation mobile ecmo Team Pediatric Anesthesia and Critical Care Angio-Embolization Interventional Radiology Pediatric Cardiology Pediatric Cardiac Surgery Trans-Thoracic Echocardiography Aortic Velocity Time Integral Fluid Responsiveness Goal Directed Fluid and Hemodynamic Therapy
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