移动式体外生命支持系统的研制  

Development of mobile extracorporeal life support system

作　　者：许天祥[1,2] 虞文魁[1] 张太林 王晓霞[1,3] 石佳靓 徐兴伟[1] 王立志[4] 嵇武 

机构地区：[1]南方医科大学南京临床学院,南京军区南京总医院普外科,解放军普外科研究所,南京210002 [2]内蒙古自治区人民医院肿瘤中心,呼和浩特010014 [3]内蒙古自治区人民医院重症医学科,呼和浩特010014 [4]辽宁陆平机器股份有限公司,辽宁铁岭112000

出　　处：《医疗卫生装备》2016年第7期27-31,共5页Chinese Medical Equipment Journal

基　　金：军队“十二五”重大项目(AWS11J003);南京军区装备部重大课题(12Z007)

摘　　要：目的:为适应体外生命支持系统在野战、自然灾害及医院间对急危重症患者的现场救治及转运,研制一种可以对重症患者实施院前现场急救救治、医院间转运连续救治的移动式体外生命支持系统。方法:以移动式、多功能特点突出为原则,根据适用范围及防湿、防振等性能设计,以方舱作为载体平台,集成体外膜肺氧合、血滤机、人工肝系统等体外生命支持系统的功能,同时配备手术麻醉设备、常规输液设备、化验设备、机械通气设备及其他辅助支持系统。结果:该系统各项性能指标均满足设计要求,能够配合其他医疗仪器,在现场及时对急危重症动物进行救治及临床试验,且效果较好。结论:该系统可靠性高、操控性强、适应范围广,可以满足野战、自然灾害及医院间对多种危重症患者的救治及转运。Objective To develop a mobile extracorporeal life support system for the prehospital emergency treatment and continuous treatment during inter-hospital transportation of the critical patient in military medical support or disaster relief.Methods The system was designed with considerations on mobility, multi function, application scope, anti moisture, anti vibration and etc, which integrated the shelter as the carrier, as well as extracorporeal membrane oxygenation, hemofiltration apparatus, artificial liver system, operation and anesthesia devices, conventional transfusion apparatuses, clinical laboratory instruments, mechanical ventilation device and other auxiliary support systems. Results Field trials on critical animals showed the system met all the desired requirements. Conclusion The system behaves well in reliability, manipulation and application scope, and can be used for the prehospital emergency treatment and continuous treatment during inter-hospital transportation of the critical patient.

关 键 词：移动式体外生命支持系统 急危重症患者 救治 转运 

分 类 号：R459.7[医药卫生—急诊医学]