DC 欄位 | 值 | 語言 |
dc.contributor.author | 柯文哲 | zh_TW |
dc.contributor.author | Ko, Wen-Je | en |
dc.creator | 柯文哲 | zh_TW |
dc.creator | Ko, Wen-Je | en |
dc.date | 2002 | - |
dc.date.accessioned | 2006-07-26T03:41:19Z | - |
dc.date.accessioned | 2018-07-11T09:26:42Z | - |
dc.date.available | 2006-07-26T03:41:19Z | - |
dc.date.available | 2018-07-11T09:26:42Z | - |
dc.date.issued | 2002 | - |
dc.identifier | 902314B002428 | zh_TW |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/24478 | - |
dc.description.abstract | (n=4), and multiple organ failure (n=17). Twenty patients were weaned off ECMO support
and survived to hospital discharge. During the follow-up of 33±22 months, all were in
NYHA functional status I or II except two cases of late deaths. Among the ECMO-weaned
patients, “dialysis for acute renal failure” was a significant factor in reducing the chance of
survival.
Conclusions: ECMO provided a satisfactory partial cardiopulmonary support to patients
with PCS, and allowed time for clinicians to assess patients and make an appropriate
decision. | en |
dc.format | application/pdf | zh_TW |
dc.format.extent | 101352 bytes | - |
dc.format.mimetype | application/pdf | - |
dc.language | zh-TW | zh_TW |
dc.language.iso | zh_TW | - |
dc.publisher | 臺北市:國立臺灣大學醫學院外科 | zh_TW |
dc.rights | 國立臺灣大學醫學院外科 | zh_TW |
dc.subject | extracorporeal membrane oxygenation | en |
dc.subject | post-cardiotomy cardiogenic shock | en |
dc.subject | intraaortic balloon pumping | en |
dc.subject | ventricular assist device | en |
dc.subject | myocardial stunning | en |
dc.subject | Background. Post-cardiotomy cardiogenic shock (PCS) often inflicts post-cardiac surgical
patients. We report our experiences of using extracorporeal membrane oxygenation (ECMO)
in adult patients with PCS, and analyze the factors that affected outcomes for these ECMO
patients.
Methods. Retrospective review of medical records of the ECMO patients
Results. From Aug. 1994 to May 2000, 76 adult patients (48 male, 28 female | en |
dc.subject | mean
age:56.8±15.9 years) received ECMO support for PCS at the National Taiwan University
Hospital. The mean ECMO blood flow was 2.53±0.84 L/min. The cardiac operations
included coronary artery bypass grafting (n=37), coronary artery bypass grafting and
valvular surgery (n=6), valvular surgery alone (n=14), heart transplantation (n=12),
correction of congenital heart defects (n=3), implantation of a left ventricular assist device
(n=2), and aortic operations (n=2). Fifty-four patients received ECMO support after
intra-aortic balloon pumping, but 22 patients directly received ECMO support.
Two patients were bridged to heart transplantation and two bridged to ventricular
assist devices. Thirty patients died on ECMO support. The mortality etiologies included
brain death (n=3), refractory arrhythmia (n=2), near motionless heart (n=2), acute graft
rejection (n=1), primary graft failure (n=1), uncontrolled bleeding (n=5), and multiple
organ failure (n=16). Twenty-two patients were weaned off ECMO support but presented
intrahospital mortality. The mortality etiologies included brain death (n=1), sudden death | en |
dc.title | Extracorporeal Membrane Oxygenation Support for
Adult Post-Cardiotomy Cardiogenic Shock | en |
dc.type | report | en |
dc.identifier.uri.fulltext | http://ntur.lib.ntu.edu.tw/bitstream/246246/24478/1/902314B002428.pdf | - |
dc.coverage | 計畫年度:90;起迄日期:2001-08-01/2002-07-31 | zh_TW |
item.openairecristype | http://purl.org/coar/resource_type/c_93fc | - |
item.openairetype | report | - |
item.languageiso639-1 | zh_TW | - |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.fulltext | with fulltext | - |
顯示於: | 醫學系
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