双腔导管在成人静脉-静脉体外膜肺氧合中的应用  

Clinical practice of double lumen cannula for veno-venous extracorporeal membrane oxygenation in adults

作　　者：邹晓静[1] 杨乐 周婷[1] 余愿[1] 李瑞婷 尚游[1] Zou Xiaojing;Yang Le;Zhou Ting;Yu Yuan;Li Ruiting;Shang You(Department of Critical Care Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei,China;Department of Emergency Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei,China)

机构地区：[1]华中科技大学同济医学院附属协和医院重症医学科,湖北武汉430022 [2]华中科技大学同济医学院附属同济医院急诊内科,湖北武汉430030

出　　处：《中华危重病急救医学》2022年第5期545-549,共5页Chinese Critical Care Medicine

摘　　要：静脉-静脉体外膜肺氧合(VV-ECMO)是一种用于严重呼吸衰竭患者的生命支持技术,以往多用单腔导管建立体外膜肺氧合(ECMO)血管通路。与单腔导管相比,双腔导管(DLC)可降低再循环分数,减少感染、出血等并发症,同时有利于患者康复。DLC置管定位要求准确性高,目前已在国内逐步开展应用,本文就应用DLC的关键问题,如置管、定位以及并发症等进行综述,以期为临床应用提供参考。Veno-venous extracorporeal membrane oxygenation(VV-ECMO)is a life support technique for patients with severe respiratory failure.In the past,single lumen cannula was mostly used to constract the vascular pathway of extracorporeal membrane oxygenation.Compared with single-lumen cannula,double lumen cannula(DLC)can reduce recirculation fraction,reduce complications such as infection and bleeding,and facilitate patient's rehabilitation.DLC requires accurate positioning of the catheter.It has been gradually applied in China.This paper will review the key points related to the use of DLC,such as the insertion,position,and complications,etc.to provide guidance for clinical application practice.

关 键 词：静脉-静脉体外膜肺氧合 呼吸衰竭 双腔导管 

分 类 号：R563.8[医药卫生—呼吸系统]