ILIOPSOAS HEMATOMA IN PATIENTS UNDERGOING VENOVENOUS ECMO
ILIOPSOAS HEMATOMA IN PATIENTS UNDERGOING VENOVENOUS ECMO
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DOI：
10.4037/ajcc2021351
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发表时间：
2021-01-01
影响因子：
2.7
通讯作者：
Ichiba, Shingo
中科院分区：
文献类型：
--
作者：
Taniguchi, Hayato;Ikeda, Tokuji;Ichiba, Shingo
背景：髂腰肌血肿偶尔发生在接受抗凝治疗的患者中。这可能是一种危及生命的并发症，并可引起弥散性血管内凝血，并可能发展为腹腔隔室综合征。静脉-静脉体外膜氧合（ECMO）过程中髂腰肌血肿的发生率及其相关因素尚未得到很好的研究。目的探讨静脉-静脉ECMO患者髂腰肌血肿的发生率及相关因素。方法2015年4月至2018年10月在日本医学院医院进行回顾性队列研究。所有患有髂腰肌血肿的患者（年龄在18岁至18岁之间）都接受了基于计算机断层扫描的诊断。结果在研究期间，54例患者接受了静脉-静脉ECMO。其中8例（15%）患者发生髂腰肌血肿，均未发生弥散性血管内凝血功能障碍或腹腔隔室综合征。单因素分析表明，患者清醒时的ECMO管理和坐在床边以外的活动有显著差异(P
Background Iliopsoas hematoma occasionally occurs in patients receiving anticoagulation therapy. It may be a life-threatening complication and can cause disseminated intravascular coagulation, which could develop into abdominal compartment syndrome. The incidence of and factors associated with iliopsoas hematoma during venovenous extracorporeal membrane oxygenation (ECMO) have not been well studied.Objectives To describe the incidence of iliopsoas hematoma and associated factors among patients undergoing venovenous ECMO.Methods A retrospective cohort study was conducted at Nippon Medical School Hospital from April 2015 to October 2018. All patients (>18 years old) with iliopsoas hematoma received a diagnosis based on computed tomography.Results During the study period, 54 patients were supported with venovenous ECMO. Iliopsoas hematoma occurred in 8 of those patients (15%), none of whom had disseminated intravascular coagulopathy or abdominal compartment syndrome develop. Univariate analysis indicated that management of ECMO while the patient was awake and mobilization beyond sitting on the edge of the bed were significantly different (P