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体外膜肺氧合支持下重症患者的呼吸介入治疗

李诗歌 代冰

中国实用内科杂志2024,Vol.44Issue(3):188-192,5.
中国实用内科杂志2024,Vol.44Issue(3):188-192,5.DOI:10.19538/j.nk2024030103

体外膜肺氧合支持下重症患者的呼吸介入治疗

Respiratory interventional therapy for critical patients under extracorporeal membrane oxygenation

李诗歌 1代冰1

作者信息

  • 1. 中国医科大学附属第一医院呼吸与危重症医学科,辽宁沈阳 110001
  • 折叠

摘要

Abstract

Pulmonary interventional therapy for some critical patients poses significant risks under routine local or general anesthesia.Extracorporeal membrane oxygenation(ECMO)can provide effective respiratory and/or circulatory support and prevent or overcome perioperative life-threatening hypoxemia and hypercapnia,ensuring the success of the operation.Combined with the currently published case reports on respiratory interventional therapy in critical patients with short-term ECMO,this paper summarizes and discusses the proper time of application,suitable population and details of ECMO management(such as working mode,anticoagulant therapy,weaning and complications)of respiratory interventional therapy with the support of ECMO,with the aim of providing guidance for better carrying out respiratory interventional therapy with the support of ECMO.

关键词

体外膜肺氧合/呼吸介入治疗/治疗策略

Key words

extracorporeal membrane oxygenation/pulmonary interventional therapy/treatment strategy

分类

医药卫生

引用本文复制引用

李诗歌,代冰..体外膜肺氧合支持下重症患者的呼吸介入治疗[J].中国实用内科杂志,2024,44(3):188-192,5.

基金项目

辽宁省科技攻关专项(2022020623-JH1/108) (2022020623-JH1/108)

沈阳市科技计划项目(21-172-9-2) (21-172-9-2)

中国实用内科杂志

OA北大核心CSTPCD

1005-2194

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