实用休克杂志（中英文）2024，Vol.8Issue(3)：170-174,5.
超声心动图在VA-ECMO支持治疗中的应用价值评估
Application value of echocardiography in the treatment support in patients with VA-ECMO
付志远 1吴维 1陈帅2
作者信息
- 1. 湖南省人民医院(湖南师范大学附属第一医院)
- 2. 益阳市中心医院
- 折叠
摘要
Abstract
Objective To evaluate the value of echocardiographic in the treatment of venoarter-ial extracorporeal membrane oxygenation(VA-ECMO).Methods Case collection and grouping:Collect the Ultrasound data and clinical related data of 25 patients who underwent VA-ECMO support treatment in our hospital from June 2018 to February 2020.Weaning was successful in 16 cases and failed in 9 cases.Patients underwent routine transthoracic echocardiography before VA-ECMO was established within 12 hours before weaning,and after weaning.The related data were routinely meas-ured and recorded,make a comparative analysis.At the same time,The main complications of EC-MO application were recorded.Results The levels of LVEF and VTIAV in successful weaning before and after weaning were significantly higher than those before establishment(P＜0.05).The levels of LVEF and VTIAV in failed weaning before and after weaning were significantly higher than those be-fore establishment(P＜0.05).In the pairwise comparison of LVEF and VTIAV between the success-ful weaning and the failed weaning,there was no significant difference between the two groups before establishment(P＞0.05),but there were significant differences before and after weaning(P＜0.05).The main complications detected by ultrasound in this study were pericardial effusion,thrombus,hematoma and lower limb ischemia.Conclusions Echocardiography has important appli-cation value in VA-ECMO supportive therapy.It is an important tool for monitoring cardiac function,choosing the time of weaning,judging the prognosis of patients and detect complications.关键词
静脉-动脉体外膜肺氧合/超声心动图/主动脉速度时间积分/左室射血分数Key words
Venoarterial extracorporeal membrane oxygenation/Echocardiography/aortic ve-locity time integral/Left ventricular ejection fraction引用本文复制引用
付志远,吴维,陈帅..超声心动图在VA-ECMO支持治疗中的应用价值评估[J].实用休克杂志（中英文）,2024,8(3):170-174,5.
