Analysis of complications associated with usage of extracorporeal membrane oxygenation after cardiac surgery in 82 cases
10.3760/cma.j.issn.1001-4497.2013.03.008
- VernacularTitle:82例成人心脏术后应用体外膜肺氧合的相关并发症分析
- Author:
Tiange LUO
;
Jie HAN
;
Jiangang WANG
;
Haibo ZHANG
;
Kequan GUO
;
Xu MENG
- Publication Type:Journal Article
- Keywords:
Extracorporeal membrane oxygenation;
Cardiac surgical procedures;
Intraoperative complications
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2013;(3):151-155
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze statistically complications associated with usage of extracorporeal membrane oxygenation after cardiac surgery in 82 cases.This report reviews our experience in extracorporeal membrane oxygenation support treatment in adult patients with cardiac failure after cardiac surgery.Methods To collect statistical data of 82 adult patients with extracorporeal membrane oxygenation support in one ward of Anzhen Hospital from January 2008 to January 2012,including renal failure,infection,haemorrhage,limb ischemia,microembolus,hemolysis,hypohepatia,lymphatic leakage,etc.Results The complication rate was 53.7％ (44 cases).Renal failure morbidity and mortality rates were the highest (36.6％,56.7％).Infection was the second highest(34.1％,40.0％).To analyse the relationship between application timing of continuous renal replacement therapy and mortality of extracorporeal membrane oxygenation by using regression analysis method,P =0.012.Both are related,and mortality increase with time.Conclusion Renal failure and infection are the main complications of adult receiving extracorporeal membrane oxygenation with cardiac surgery,and had significant effect on the prognosis.Application timing of continuous renal replacement therapy and mortality of extracorporeal membrane oxygenation are related.Prevent early and treat timely should be benefit to the patients wih high-risk factors.
