体外膜肺氧合支持下ARDS患者的机械通气管理策略  

Mechanical ventilation management strategy for the patients with ARDS supported by extracorporeal membrane oxygenation

作　　者：邱志强 曹春水[1] 黄亮[1] 李洋[1] Qiu Zhi-qiang;Cao Chun-shui;Huang Liang;Li Yang(Emergency Department,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院急诊科,江西南昌330006

出　　处：《中国急救医学》2020年第11期1109-1112,共4页Chinese Journal of Critical Care Medicine

基　　金：江西省教育厅科学技术研究项目(170119);江西省卫生厅科技计划项目(20203211)。

摘　　要：尽管对急性呼吸窘迫综合征(ARDS)深入研究和机械通气技术的不断进步,但ARDS患者的病死率仍高达40%,难治性低氧血症及呼吸机相关性肺损伤(VILI)是导致ARDS患者死亡的重要原因.体外膜肺氧合(ECMO)可维持氧合、改善通气,起到“肺休息”的作用.但目前国际上对ECMO支持下最佳机械通气策略仍没有统一、明确的共识,本文旨在对近年来ECMO支持下ARDS患者机械通气策略进行综述.Despite the further research on acute respiratory distress syndrome(ARDS) and the continuous progress of mechanical ventilation techniques,the mortality rate of patients with ARDS is still as high as 40%,and refractory hypoxemia and ventilator-induced lung injury(VILI) are important causes of death in ARDS patients.Extracorporeal membrane oxygenation(ECMO) can maintain oxygenation,improve ventilation and play the role of "lung rest".However,there is still no uniform and clear international consensus on the optimal mechanical ventilation strategy supported by ECMO.This article aims to review the mechanical ventilation strategy of ARDS patients supported by ECMO in recent years.

关 键 词：体外膜肺氧合(ECMO) 急性呼吸窘迫综合征(ARDS) 呼吸机相关性肺损伤(VILI) 机械通气策略 

分 类 号：R563.8[医药卫生—呼吸系统]