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
Domestic extracorporeal membrane oxygenation in the treatment of cardiogenic shock and acute respiratory failure:a report of 8 cases and literature review
李瑞建 1张建波 1边圆 1刘淑琴 2刘艳伟3
作者信息
- 1. 山东大学齐鲁医院急诊科,山东 济南 250012
- 2. 山东大学电气工程学院,山东 济南 250061
- 3. 山东恒心医疗器械有限公司,山东 济南 250061
- 折叠
摘要
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.
Abstract
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.
关键词
体外膜肺氧合/急性呼吸循环衰竭/离心泵/膜肺/心肺功能Key words
Extracorporeal membrane oxygenation/Cardiogenic shock/Centrifugal pump/Membrane oxygenator/Cardiopulmonary function引用本文复制引用
基金项目
山东大学临床研究中心急危重症重点专项经费支持(23460047102116)
出版年
2024
NETL
NSTL
维普
万方数据