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中华重症医学电子杂志 ›› 2020, Vol. 06 ›› Issue (02) : 156 -159. doi: 10.3877/cma.j.issn.2096-1537.2020.02.010

所属专题: 重症医学 文献

专题笔谈

体外膜氧合中肝素相关性血小板减少症的处理
许华1, 王勇强1,()   
  1. 1. 300192 天津市第一中心医院重症医学科
  • 收稿日期:2019-12-10 出版日期:2020-05-28
  • 通信作者: 王勇强

Management of heparin-associated thrombocytopenia in extracorporeal membrane oxygenation

Hua Xu1, Yongqiang Wang1,()   

  1. 1. Department of Critical Care Medicine, Tianjin First Center Hospital, Tianjin 300192, China
  • Received:2019-12-10 Published:2020-05-28
  • Corresponding author: Yongqiang Wang
  • About author:
    Corresponding author: Wang Yongqiang, Email:
引用本文:

许华, 王勇强. 体外膜氧合中肝素相关性血小板减少症的处理[J]. 中华重症医学电子杂志, 2020, 06(02): 156-159.

Hua Xu, Yongqiang Wang. Management of heparin-associated thrombocytopenia in extracorporeal membrane oxygenation[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2020, 06(02): 156-159.

肝素诱导的血小板减少症(HIT)是一种临床应用肝素过程中出现最多的非出血性免疫相关的并发症,在体外膜氧合(ECMO)使用过程中发生的概率不高,但致命性极强。因此ECMO使用过程中预防HIT极其重要。此外,掌握HIT发生时的处理策略并在该并发症发生早期给予正确的干预是降低ECMO并发HIT患者死亡的关键。本文旨在对ECMO中HIT的处理作简要分析。

Heparin induced thrombocytopenia (HIT) is a non-hemorrhagic immune-related complication that occurs most frequently in the clinical application of heparin. The probability of occurrence of HIT is not high during the use of extracorporeal membrane oxygenation (ECMO), but it is extremely lethal. Therefore, it is extremely important to prevent the occurrence of HIT during the use of ECMO. In addition, being familiar with the treatment strategy for HIT and giving proper intervention early when this complication occurs are the keys to reducing the mortality of patients. This article briefly analyzes the management of heparin-related thrombocytopenia in extracorporeal membrane oxygenation.

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