临床小儿外科杂志2025,Vol.24Issue(3):282-287,6.DOI:10.3760/cma.j.cn101785-202407043-015
左心减压策略在静脉-动脉体外膜肺氧合中的研究进展
Research progress on left heart decompression strategies in venoarterial extracorporeal membrane oxy-genation
摘要
Abstract
Venoarterial extracorporeal membrane oxygenation(V-A ECMO)is primarily used to pro-vide circulatory and respiratory support in patients with severe cardiogenic shock or refractory cardiac arrest.Al-though it allows the heart to rest for a certain period,the increased left ventricular afterload in some patients can lead to left ventricular dilation,exacerbating myocardial damage and pulmonary edema,which contradicts the fundamental principles of ECMO.Therefore,an appropriate and effective left heart decompression strategy is es-sential for patients receiving V-A ECMO.This review summarizes the latest research progress on mechanical left heart decompression strategies in V-A ECMO.关键词
静脉-动脉体外膜肺氧合/左心室减压/左心室扩张/外科手术/儿童Key words
Veno-arterial Extracorporeal Membrane Oxygenation/Left Ventricle Unloading/Left Ven-tricular Dilation/Surgical Procedures,Operative/Child引用本文复制引用
师博艺,彭卫..左心减压策略在静脉-动脉体外膜肺氧合中的研究进展[J].临床小儿外科杂志,2025,24(3):282-287,6.基金项目
江苏省妇幼保健协会科研项目(FYX202201) Jiangsu Provincial Maternal and Child Health Care Association Scientific Research Project(FYX202201) (FYX202201)