重庆医学2011，Vol.40Issue(12)：1172-1173,1176,3.DOI:10.3969/j.issn.1671-8348.2011.12.011
体外膜肺氧合在心肺辅助循环中的应用
Application of ECMO in cardiopulmonary failure support
陈娅 1唐令凤 1刘才仟 1杨康1
作者信息
- 1. 第三军医大学西南医院胸心外科,重庆,400038
- 折叠
摘要
Abstract
Objective observe the application of ECMO(extracorporeal membrane oxygenation)in cardiopulmonary failure support and summarize clinical experience. Methods gave ECMO treatment to 7 patients suffering from severe cardiopulmonary failure from December 2007 to October 2010. All the 7 patients received intravenous arterial cannula ECMO support treatment and main rained stable hemodynamic and respiratory indexes. Results ECMO support time:20～48h,32h on average. With ECMO support,hemodynamics and respiration were significantly improved. 5 patients needed no longer to receive equipment treatment. One of the remained two patients used great amount of vasoactive drugs so that low blood pressure could be maintained with large ECMO flow. After that, cardiac arrest occurred and can not be restored. Poor effect was achieved for I patient due to severe lung damage.In addition, the patient also suffered from renal failure. Finally, the treatment was abandoned. Conclusion ECMO is an effective means for heart failure and respiratory failure treatment for cardiopulmonary circulatory support. With proper understanding of its indication and selecting the correct bypass way, ECMO success rate can then be improved.关键词
体外膜氧合作用/体外循环/心肺功能衰竭Key words
extracorporeal membrane oxygenation / extracorporeal circulation/ cardiopulmonary failure引用本文复制引用
陈娅,唐令凤,刘才仟,杨康..体外膜肺氧合在心肺辅助循环中的应用[J].重庆医学,2011,40(12):1172-1173,1176,3.
