新生儿重症监护室开展体外膜肺氧合的常见问题及对策  

Common problems and counterplans of extracorporeal membrane oxygenation implementation in neonatal intensive care unit

作　　者：裘刚[1] Qiu Gang(Department of Neonatology,Shanghai Children′s Hospital,Children′s Hospital of Shanghai Jiaotong University,Shanghai 200062,China)

机构地区：[1]上海市儿童医院,上海交通大学附属儿童医院新生儿科,200062

出　　处：《中华实用儿科临床杂志》2019年第23期1761-1766,共6页Chinese Journal of Applied Clinical Pediatrics

摘　　要：体外膜肺氧合(ECMO)作为目前最高级的生命支持技术之一,可暂时替代患者心肺功能,为患者器官功能恢复争取宝贵时间.然而由于各种因素及条件制约,该技术在国内新生儿领域尚处于起步阶段,还面临各种各样的问题亟待解决.现就ECMO患儿的选择、启动时机、模式选择、运行时管理、并发症防治及相关伦理问题等几方面做重点讨论.Extracorporeal membrane oxygenation(ECMO)is by far one of the most advanced life support technology,which provides temporary cardiopulmonary support and earns precious time for patients waiting for the recovery of organ function.However,due to various factors and constraints,this technology is still at the initial stage of application in neonatal field in China.In the meantime,there are many problems to deal with.This article will mainly discuss about several aspects in ECMO management,including choice of patients,timing to start,choice of ECMO mode,management of running ECMO,complications and ethic issues.

关 键 词：体外膜肺氧合 婴儿 新生 治疗 并发症 

分 类 号：R722[医药卫生—儿科]