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首页> 外文期刊>Journal of cardiac surgery. >Mechanical support for postcardiotomy cardiogenic shock: has progress been made?
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Mechanical support for postcardiotomy cardiogenic shock: has progress been made?

机译:切开术性心源性休克的机械支持:取得了进展吗?

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摘要

Postcardiotomy cardiogenic shock (PCCS) complicates 0.2% to 6% of cardiac operations and is a clinical entity fraught with considerable morbidity and mortality. A previous review of this topic by our group suggested that regardless of device, only 25% of patients survived to hospital discharge. In the interim, newer technologies have entered the clinical arena. Additional contributions have been made to the literature and new databases are collecting data that are likely to provide more robust guidance for the management of these very complex patients. In this review, we update the experience of mechanical support in the PCCS patient and provide a strategy to maximize survival for a patient who develops PCCS in the community cardiac surgery center.
机译:心脏切开术后心源性休克(PCCS)使心脏手术复杂化0.2%至6%,是一种临床病因,发病率和死亡率均很高。我们小组对该主题的先前评论表明,无论使用哪种设备,只有25%的患者可以幸存至出院。在此期间,较新的技术已进入临床领域。对文献做出了额外的贡献,新的数据库正在收集数据,这些数据可能为这些非常复杂的患者的治疗提供更可靠的指导。在这篇综述中,我们更新了PCCS患者的机械支持经验,并为在社区心脏外科中心开发PCCS的患者提供了最大化生存的策略。

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