中国体外循环杂志2023，Vol.21Issue(6)：333-335,350,4.DOI:10.13498/j.cnki.chin.j.ecc.2023.06.04
儿童体外膜氧合院际转运研究
Interhospital transfer with extracorporeal membrance oxygenation in pediatric patients
摘要
Abstract
Objective To summarize the interhospital transfer experience of critically ill children with extracorporeal membrane oxygenation(ECMO)and provide evidence for interhospital transfer of ECMO-treated patients.Methods To retro-spectively analyse the general information,disease status,choice of intubation,distance of ECMO transfer,conditions of patients before and after ECMO transfer,complications during transfer of 10 patients underwent ECMO inter-hospital transfer in our hos-pital from January 2020 to December 2022 were retrospectively analyzed,and the experience was summarized from various as-pects.Results The oldest of the 10 patients with severe diseases was 11 years old and the mean age was(52.0±48.8)months.The main diseases were acute respiratory distress syndrome,explosive myocarditis,avian influenza,heart failure,neonatal pul-monary hypertension and so on.The mean transfer distance was(234.9±98.5)km,and the respiratory circulation was stable dur-ing transfer.Eight children were discharged from hospital after recovered,and 1 child's lung condition was not well-controlled during ECMO treatment.This patient developed multiple organ failure soon after ECMO withdrawal and was automatically dis-charged eventually.Another case,the family member gave up the treatment.The average ECMO supporting time was(165.8±115.0)h.Conclusion:The use of ECMO for inter-hospital transfer of critically ill pediatric patients is a feasible and safe opera-tion based on perfect equipment and professional team cooperation,which can save precious time for patients'lives.关键词
体外膜氧合/院际转运/儿童/危重症Key words
Extracorporeal membrane oxygenation/Interhospital transfer/Children/Critical illness引用本文复制引用
王香妮,杨宇帆,黄娇甜,卢秀兰,肖政辉..儿童体外膜氧合院际转运研究[J].中国体外循环杂志,2023,21(6):333-335,350,4.基金项目
湖南省急危重症急救能力提升与突发公共卫生应急救治关键技术协同创新工程(2020SK1010) （2020SK1010）
