成人心脏术后体外膜式氧合辅助27例的临床分析  

Extracorporeal Membrane Oxygenation after Cardiac Surgery:A Clinical Analysis of 27 Adult Patients

作　　者：方艺潭[1] 谷天祥[1] 喻磊[1] 

机构地区：[1]中国医科大学附属第一医院心脏外科,沈阳110001

出　　处：《中国胸心血管外科临床杂志》2016年第6期586-588,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的总结成人心脏术后应用体外膜式氧合（ECMO）的临床经验。方法回顾性分析2011年12月至2013年10月我院27例行ECMO治疗患者的临床资料,其中男15例、女12例,年龄41～73（51±11）岁,所有患者均采用静脉-动脉转流。结果 27例患者均接受ECMO支持,辅助时间48.0～192.0（81.2±36.4）h,住院时间168.0～480.0（307.8±97.0）h,患者顺利脱机率77.8%（21/27）,患者康复出院率51.9%（14/27）,患者住院死亡率44.4%（12/27）。结论有效的监测联合其他辅助治疗仪器的应用是提高ECMO辅助效果的有力保障。Objective To summarize the experience of applying extracorporeal membrane oxygenation（ECMO） after cardiac surgery in adult patient. Methods We retrospectively analyzed the clinical data of 27 patients underwent ECMO from December 2011 to October 2013. There were 15 males and 12 females at the mean age of 51±11 years ranging from 41 to 73 years. Vein-artery perfusion was performed in all 27 patients. Results All 27 patients underwent ECMO. The mean time of using ECMO was 81.2±36.4 hours ranging from 48.0-192.0 hours. The mean time of hospital stay was 307.8±97.0 hours ranging from 168.0-480.0 hours. The rate of weaning from ECMO was 77.8%（21/27）. The rate of discharge was 51.9%（14/27）. The rate of perioperative mortality was 44.4%（12/27）. Conclusion Effective monitoring with other supportive equipments is helpful to promote the result of ECMO.

关 键 词：心脏手术 体外膜式氧合 并发症 监测 

分 类 号：R654.2[医药卫生—外科学]