切换至 "中华医学电子期刊资源库"

中华产科急救电子杂志 ›› 2018, Vol. 07 ›› Issue (02) : 113 -117. doi: 10.3877/cma.j.issn.2095-3259.2018.02.012

所属专题: 文献

专家论坛

器官功能支持治疗技术在产科危急重症中的应用
马新华1, 艾宇航1,()   
  1. 1. 410008 长沙,中南大学湘雅医院重症医学科
  • 收稿日期:2018-01-05 出版日期:2018-05-18
  • 通信作者: 艾宇航

Application of organ functional support treatment technology in obstetrical critical patients

Xinhua Ma1, Yuhang Ai1()   

  • Received:2018-01-05 Published:2018-05-18
  • Corresponding author: Yuhang Ai
引用本文:

马新华, 艾宇航. 器官功能支持治疗技术在产科危急重症中的应用[J]. 中华产科急救电子杂志, 2018, 07(02): 113-117.

Xinhua Ma, Yuhang Ai. Application of organ functional support treatment technology in obstetrical critical patients[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2018, 07(02): 113-117.

妊娠期器官功能衰竭在临床上比较常见,如何熟悉应用器官支持技术,保障孕产妇生命安全,是目前临床研究的热点话题。本文就孕产妇生理改变、常见孕产妇危急重症和器官功能支持治疗的救治要点进行阐述。

Multiple organ failure is a common complication during pregnancy. How to properly implicate organ support technologies and ensure maternal safety is a hot clinical topic. This article explains the changes on maternal physiology and organ functions, introduces the common emergency and critical illnesses of obstetrics, and reviews the recent progresses on organ support technologies.

[1]
Neligan PJ, Laffey JG. Clinical review: Special populations-critical illness and pregnancy [J]. Crit Care, 2011, 15(4): 227-237.
[2]
Sriram S, Robertson MS. Critically ill obstetric patients in Australia: a retrospective audit of 8years′ experience in a tertiary intensive care unit [J]. Crit Care Resusc 2008, 10(2):124-132.
[3]
Hazelgrove JF, Price C, Pappachan VJ, et al. Multicenter study of obstetric admissions to 14 intensive care units in southern England [J]. Crit Care Med, 2001, 29(4): 770-775.
[4]
Tang LC, Kwok AC, Wong AY, et al. Critical care in obstetrical patients: an eight-year review [J]. Chin Med J (Engl), 1997, 110(2): 936-941.
[5]
Fonseca JE, Mendez F, Catano C, et al. Dexamethasone treatment does not improve the outcome of women with HELLP syndrome: a doubleblind, placebo-controlled, randomized clinical trial [J]. Am J Obstet Gynecol, 2005, 193(5): 1591-1598.
[6]
Ibdah JA. Acute fatty liver of pregnancy: an update on pathogenesis and clinical implications [J]. World J Gastroenterol, 2006, 12(46): 7397-7404.
[7]
Clark SL, Hankins GD, Dudley DA, et al. Amniotic fluid embolism: analysis of the national registry [J]. Am J Obstet Gynecol, 1995, 172(4): 1158-1167.
[8]
Steven L. Clark. Amniotic fluid embolism [J]. Obstet Gynecol, 2014, 123(2): 337-348.
[9]
Hsieh YY, Chang CC, Li PC, et al. Successful application ofextracorporeal membrane oxygenation and intra-aortic balloon counterpulsation as lifesaving therapy for a patient with amniotic fluidembolism [J]. Am J Obstet Gynecol, 2000, 183(2): 496-497.
[10]
Pearson GD, Veille JC, Rahimtoola S, et al. Peripartum cardiomyopathy: National Heart, Lung, and Blood Institute and Office of Rare Diseases (National Institutes of Health)workshop recommendations and review [J]. JAMA, 2000, 283(9): 1183-1188.
[11]
Hilfi ker-Kleiner D, Sliwa K, Drexler H. Peripartum cardiomyopathy: recent insights in its pathophysiology [J]. Trends Cardiovasc Med, 2008, 18(5): 173-179.
[12]
Hilfi ker-Kleiner D, Kaminski K, Podewski E, et al. A cathepsin D-cleaved form of prolactin mediates postpartum cardiomyopathy [J]. Cell, 2007, 128(3): 589-600.
[13]
Molnar Z, Szabo Z, Nemeth M. Multimodal individualized concept ofhemodynamic monitoring [J]. Curr Opin Anesthesiol, 2017, 30(2): 171-177.
[14]
Vincent JL, Backer DD. Circulatory shock [J]. N Engl J Med, 2013, 369(18): 1726-1734.
[15]
Cecconi M, Backer DD, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine [J]. Intensive Care Med, 2014, 40(12): 1795-1815.
[16]
Vieillard A, Matthay B, Teboul JL, et al. Experts′ opinion on management of hemodynamics in ARDS patients: focus on the effects of mechanical ventilation [J]. Intensive Care Med, 2016, 42(5): 739-749.
[17]
Palevsky PM, Liu KD, Brophy PD, et al. KDOQI US commentary on the 2012 KDIGO clinical practice guideline for acute kidney injury [J]. Am J Kidney Dis, 2013, 61(5): 649-672.
[18]
Wang DW, Yin YM, Yao YM.Advances in the management of acute liver failure [J]. World J Gastroenterol,2013,19(41): 7069-7077.
[19]
Grek A, Arasi L. Acute liver failure [J]. AACN Adv Crit Care, 2016, 27(4): 420-429.
[20]
O′Brien P, Heaney D. Cerebrovascular complications during pregnancy and the puerperium [J]. Eur J Neurol, 2011, 18(6): 801-802.
[21]
Dominguez-Fuentes B, Garcia-Gil D, Romero-Palacios A. Posterior reversible leukoencephaIopathy in a patient with postpartum eclampsia [J]. Med Intensiva, 2008, 32(7): 361-363.
[22]
Geeraerts T, Merceron S, Benhamou D, et al. Noninvasive assessment of intracranial pressure using ocular sonography in neurocritical care patients [J]. Intensive Care Med, 2008, 34(11): 2062-2067.
[23]
Budohoski KP, Reinhard M, Aries MJ, et al. Monitoring cerebral autoregulation after head injury. Which component of transcranial Doppler flow velocity is optimal? [J]. Neurocrit Care, 2012, 17(2): 211-218.
[24]
Rots ML, van Putten MJ, Hoedemaekers CW, et al. Continuous EEG Monitoring for Early Detection of Delayed Cerebral Ischemia in Subarachnoid Hemorrhage: A Pilot Study [J]. Neurocrit Care, 2016, 24(2): 207-216.
[25]
Facoo E, Fischer C, Murri L, et al. The prognostic value of evoked Potentials in the diagnosis of brain death [J]. Clin Neurophysiol, 2002, 113(11): 1855-1866.
[26]
Wood M, Song A, Maslove D, et al. Brain tissue oxygenation in patients with septic shock: a feasibility study [J]. Can J Neurol Sci, 2016, 43(1): 65-73.
[1] 李聪, 徐艳, 吴铭, 丁瑞东, 王军. 极低出生体重儿出生时血清25-羟维生素D水平与其生后早期喂养不耐受关系的临床分析[J]. 中华妇幼临床医学杂志(电子版), 2023, 19(03): 309-314.
[2] 陈川, 杨太珠, 何泽凤. 肾脏彩色多普勒超声结果对儿童重症医学科急性肾损伤患儿的辅助诊断价值[J]. 中华妇幼临床医学杂志(电子版), 2023, 19(02): 219-226.
[3] 石晓萍, 老东辉, 王菁, 吕迁洲, 李晓宇, 许青. 重症监护病房肝移植受者的药物相关问题[J]. 中华移植杂志(电子版), 2023, 17(02): 104-111.
[4] 谢开晶, 白伟志, 王震, 李婷, 邵世锋, 王耀丽. 严重爆炸伤单中心重症的监护与救治[J]. 中华肺部疾病杂志(电子版), 2024, 17(02): 201-206.
[5] 陈晨, 鲁厚清. 血乳酸水平联合NLR对ICU重症肺炎预后风险预测[J]. 中华肺部疾病杂志(电子版), 2022, 15(04): 551-553.
[6] 王蕤, 乔晞. 重症监护室发生急性肾损伤的危险因素[J]. 中华肾病研究电子杂志, 2023, 12(02): 93-96.
[7] 鲁悦, 李伟, 庄宗, 王娟, 赵鹏来, 杭春华. 脑出血继发吉兰-巴雷综合征二例报道并文献复习[J]. 中华脑科疾病与康复杂志(电子版), 2024, 14(02): 120-123.
[8] 张平骥, 徐钰, 李天水, 庞文翼, 符师宁, 张梦圆. 重症患者镇静治疗现状及期望的调查研究[J]. 中华临床医师杂志(电子版), 2024, 18(06): 562-567.
[9] 张小玉, 郭伟, 吴秀丽, 汪蕊, 汪莹. ICU专科护士培训大纲的构建和应用[J]. 中华临床医师杂志(电子版), 2023, 17(03): 330-334.
[10] 高磊, 赵卉, 郑凌, 叶静. 呼吸重症监护病房院内获得性肺炎病原学特点及多因素Logistic回归分析[J]. 中华临床医师杂志(电子版), 2022, 16(06): 524-528.
[11] 马慧颖, 魏玉梅. 妊娠合并糖尿病酮症酸中毒的诊治[J]. 中华产科急救电子杂志, 2023, 12(04): 223-227.
[12] 刘平娟, 罗科城, 吴家茵, 廖康, 胡雯雯, 陈怡丽. 神经内科重症监护室患者肠道耐碳青霉烯类肠杆菌目细菌主动筛查研究[J]. 中华临床实验室管理电子杂志, 2023, 11(04): 235-240.
[13] 赵宁, 陈娟媚, 杨其霖, 莫沛. 急性心肌梗死患者住院病死率和纤维蛋白原水平的非线性关系[J]. 中华临床实验室管理电子杂志, 2023, 11(01): 32-37.
[14] 邓仙裕, 罗钰璇, 张溱乐, 余展鹏, 彭亮. 自发性脑出血重症患者30 d死亡风险预测模型的建立及验证[J]. 中华脑血管病杂志(电子版), 2024, 18(02): 121-128.
[15] 李永凯, 吐尔洪·吐尔逊, 杨建中. 开颅术后患者大脑中动脉的经颅多普勒超声测量值与意识评分、血生化指标的相关性[J]. 中华脑血管病杂志(电子版), 2023, 17(03): 221-226.
阅读次数
全文


摘要