体外膜肺氧合在供者维护中的应用进展  

Progress on application of extracorporeal membrane oxygenation in donor maintenance

作　　者：丘小红[1] 刘少儒 许磊波[1,2] 刘超[1,2] Qiu Xiaohong;Liu Shaoru;Xu Leibo;Liu Chao(Organ Transplantation Center,Sun Yat-sen Memorial Hospital of Sun Yat-sen University,Guangzhou 510288,China;不详)

机构地区：[1]中山大学孙逸仙纪念医院器官移植中心,广州510288 [2]中山大学孙逸仙纪念医院胆胰外科,广州10288

出　　处：《器官移植》2020年第6期658-662,共5页Organ Transplantation

基　　金：国家自然科学基金(81672412、81972255)。

摘　　要：器官移植是治疗终末期疾病的有效手段之一,但供者来源不足桎梏了器官移植的发展。体外膜肺氧合(ECMO)可以改善器官低氧状态及低灌注情况,缩短热缺血时间,在器官紧急获取或血流动力学不稳定等情况下,有效维护供者器官功能,使供者器官得到充分利用,造福更多亟需器官移植的患者。本文总结了ECMO在供者维护中的应用进展,为其在器官移植中的应用提出建议。Organ transplantation is one of the effective methods for the treatment of end-stage diseases,but the lack of donors has hindered the development of organ transplantation.Extracorporeal membrane oxygenation(ECMO)can improve the hypoxia and hypoperfusion of organs,shorten the warm ischemia time,and maintain the function of donor organs effectively,in case of emergency or donor hemodynamic instability.It helps to make effective use of donor organs and benefit patients who are in urgent need of organ transplants.This article summarized the progress on application of ECMO in donor maintenance and provided suggestions for its application in organ transplantation.

关 键 词：器官移植 终末期疾病 体外膜肺氧合(ECMO) 供者维护 器官捐献 心脏死亡器官捐献(DCD) 脑死亡器官捐献(DBD) 脑-心双死亡器官捐献(DBCD) 

分 类 号：R617[医药卫生—外科学]