首页|国产体外膜肺氧合治疗急性呼吸循环衰竭8例并文献复习

国产体外膜肺氧合治疗急性呼吸循环衰竭8例并文献复习

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目的 探讨应用国产体外膜肺氧合设备(HX-ECMO)救治急性呼吸循环衰竭患者的安全性及临床效果.方法 2022 年 12 月至 2023 年 3 月山东大学齐鲁医院急诊科使用HX-ECMO治疗急性呼吸循环衰竭患者 8 例.对施行ECMO辅助治疗的效果进行前瞻性分析.结果 8 例急性呼吸循环衰竭患者经ECMO治疗后的各项指标优于治疗前,通过离心泵和膜肺给机体提供充足的血液及氧气供应,为器官功能恢复创造了条件.相对于常规治疗方案,ECMO的应用提高了急性呼吸循环衰竭患者救治成功率.研究期间 HX-ECMO运转稳定,性能良好.结论 国产HX-ECMO性能良好,提高急性呼吸循环衰竭患者救治成功率,为 ECMO 技术推广应用提供有力支持.
Domestic extracorporeal membrane oxygenation in the treatment of cardiogenic shock and acute respiratory failure:a report of 8 cases and literature review
Objective To analyze the safety and efficacy of domestic extracorporeal membrane oxygenation(HX-EC-MO)for patients with cardiogenic shock and acute respiratory failure.Methods In the Department of Emergency,Qilu Hospital,Shandong University,HX-ECMO was used for the treatment of 8 patients with cardiogenic shock and(or)acute respiratory failure during December 2022 and March 2023.The efficacy of treatment was prospectively ana-lyzed.Results After treatment,all indexes were improved,as sufficient circulatory and oxygenation support were pro-vided to patients through artificial heart pump and membrane lung,which created conditions for the recovery of organ function.Compared with conventional treatment,ECMO improved the success rate of acute respiratory and circulatory failure.During the study,HX-ECMO operated stably and performed well.Conclusion Domestic HX-ECMO can effectively improve the success rate of patients with cardiogenic shock and acute respiratory failure,which can provide support for the application of ECMO.

Extracorporeal membrane oxygenationCardiogenic shockCentrifugal pumpMembrane oxygenatorCardiopulmonary function

李瑞建、张建波、边圆、刘淑琴、刘艳伟

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山东大学齐鲁医院急诊科,山东 济南 250012

山东大学电气工程学院,山东 济南 250061

山东恒心医疗器械有限公司,山东 济南 250061

体外膜肺氧合 急性呼吸循环衰竭 离心泵 膜肺 心肺功能

山东大学临床研究中心急危重症重点专项经费支持

23460047102116

2024

山东大学学报(医学版)
山东大学

山东大学学报(医学版)

CSTPCD北大核心
影响因子:0.841
ISSN:1671-7554
年,卷(期):2024.62(1)
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