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231224s2016 xx |||||o 00| ||chi c |
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|a 10.3760/cma.j.issn.0578-1310.2016.08.009
|2 doi
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|a pubmed25n0877.xml
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|a DE-627
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|a chi
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1 |
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|a Cheng, Y
|e verfasserin
|4 aut
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|a Complications of critically ill children supported by venoarterial extracorporeal membrane oxygenation
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|c 2016
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
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|2 rdamedia
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|a ƒa Online-Ressource
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|a Date Completed 26.07.2017
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|a Date Revised 02.12.2018
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|a published: Print
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|a Citation Status MEDLINE
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|a OBJECTIVE: To study the complications occurred in the process of venoarterial extracorporeal membrane oxygenation (VA-EMCO) in critically ill children
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|a METHOD: To analyze retrospectively 25 children who were admitted to PICU of Children's Hospital of Fudan University from December 2011 to December 2015. They were all treated with VA-ECMO with incision and catheterization in right internal carotid artery and jugular vein. Complications were recorded during ECMO process
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|a RESULT: The duration of ECMO treatment was 14 to 567 h (153 (112, 204) h). Seventeen cases (68%) withdrew from ECMO successfully and 15 cases (60%) survived to discharge. Thirty-three complications occurred during ECMO treatment. Of which, mechanical complications occurred 9 times, including oxygenator leakage (n=3), hemolysis (n=2), water tank failure (n=2), pump head rupture (n=1) and piping thrombosis (n=1). Somatic complications appeared 24 times, including neurological complications (n=8) which included cerebral infarction (n=2), convulsions (n=2), intracranial hemorrhage (n=2), thrombosis after ligation of internal jugular vein (n=1) and cerebral atrophy (n=1); bleeding complications (n=8) which included bleeding at puncture sites (n=4), ECMO canalized site bleeding (n=3), and spontaneous (n=1), intracranial hemorrhage or hematoma cases(n=2) in mechanical complications; acute kidney injury (n=5) and microcirculation thrombosis (n=3)
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|a CONCLUSION: ECMO technique may cause complications, which mainly include neurological, mechanical and clotting complications. Advanced equipments and materials and well-managed teamwork are helpful in decreasing complications
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|a Journal Article
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1 |
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|a Lu, Z J
|e verfasserin
|4 aut
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1 |
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|a Yan, X G
|e verfasserin
|4 aut
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1 |
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|a He, J
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Yan, G F
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Cai, X D
|e verfasserin
|4 aut
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| 700 |
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|a Shen, W J
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Jin, A L
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Lu, G P
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t Zhonghua er ke za zhi = Chinese journal of pediatrics
|d 1960
|g 54(2016), 8 vom: 11. Aug., Seite 601-4
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|x 0578-1310
|7 nnns
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|g volume:54
|g year:2016
|g number:8
|g day:11
|g month:08
|g pages:601-4
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|u http://dx.doi.org/10.3760/cma.j.issn.0578-1310.2016.08.009
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