临床误诊误治2023,Vol.36Issue(12) :155-158.DOI:10.3969/j.issn.1002-3429.2023.12.031

体外膜肺氧合支持下重症呼吸道传染病患者空运医疗后送管理

Management of Aeromedical Evacuation of Patients with Severe Respirato-ry Infections Supported by Extracorporeal Membrane Oxygenation

吴丹 胡雪军 黄太平 刘善收 于明哲 王倩梅 赵霄君 李俊杰
临床误诊误治2023,Vol.36Issue(12) :155-158.DOI:10.3969/j.issn.1002-3429.2023.12.031

体外膜肺氧合支持下重症呼吸道传染病患者空运医疗后送管理

Management of Aeromedical Evacuation of Patients with Severe Respirato-ry Infections Supported by Extracorporeal Membrane Oxygenation

吴丹 1胡雪军 2黄太平 2刘善收 1于明哲 1王倩梅 1赵霄君 1李俊杰1
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作者信息

  • 1. 710032 西安,解放军空军军医大学第一附属医院急诊科
  • 2. 710032 西安,解放军空军军医大学
  • 折叠

摘要

体外膜肺氧合(ECMO)是一种高级的体外生命支持技术,已被广泛应用于心源性休克、呼吸衰竭、术后心力衰竭等的救治中.空运医疗后送具有速度快、效率高、灵活性强、范围广、受地域影响小等特点.但空运医疗后送途中不可避免会出现多种并发症,治疗过程中也可能出现肢体缺血、血栓、脑梗死等,且ECMO使用时间过长也可能造成感染等并发症.基于此,为更好地救治患者,减少空运医疗后送途中并发症的发生,现将ECMO支持下重症呼吸道传染病患者的空运医疗后送管理做一综述.

Abstract

Extracorporeal membrane oxygenation(ECMO)is an advanced extracorporeal life support technique,which has been widely used in the treatment of cardiogenic shock,respiratory failure,and postoperative heart failure.Aero-medical evacuation is characterized by high speed,high efficiency,strong flexibility,wide range and small geographical influ-ence.However,a variety of complications will inevitably occur during aeromedical evacuation,and limb ischemia,thrombo-sis,and cerebral embolism may also occur during treatment;prolonged use of ECMO may also cause complications such as in-fection.Based on this,in order to better treat patients and reduce the occurrence of complications during aeromedical evacua-tion,the management of areomedical evacuation for patients with severe respiratory infections supported by ECMO is reviewed.

关键词

体外膜肺氧合/呼吸道传染/重症/空运医疗后送/后送流程/人员培养/综述

Key words

Extracorporeal membrane oxygenation/Respiratory infection/Severe case/Aeromedical evacuation/Evacuation process/Personnel training/Review

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基金项目

卫勤保障能力创新与生成专项项目(21WQ025)

出版年

2023
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量23
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