体外膜氧合患者脑死亡判定方法的研究进展  

Research progress on the brain death determination in patients with extracorporeal membrane oxygenation

作　　者：姚敏 邵康梅 翟科蓉 李勇男[2,3] 葛朝明[1] Yao Min;Shao Kangmei;Zhai Kerong;Li Yongnan;Ge Zhaoming(Department of Neurology,Lanzhou University Second Hospital,700030 Lanzhou,China)

机构地区：[1]兰州大学第二医院神经内科,甘肃省兰州市700030 [2]兰州大学第二医院心脏外科,甘肃省兰州市700030 [3]兰州大学第二医院体外生命支持实验室,甘肃省兰州市700030

出　　处：《中国体外循环杂志》2022年第5期312-316,共5页Chinese Journal of Extracorporeal Circulation

基　　金：兰州大学第二医院“萃英科技创新”计划项目(CY2019-BJ01);兰州大学第二医院院内引进人才计划(yjrzkyqdj-2021-02)。

摘　　要：近年来,体外膜氧合(ECMO)已经广泛应用于支持各种原因引起的心肺功能衰竭,挽救了许多濒临死亡患者的生命。在我国,ECMO作为稀缺资源仍然是有限的,优化ECMO资源的合理应用是必要的。临床医师需要及时有效地评估该患者人群中的脑死亡以处理脑死亡判定后医疗相关问题。然而,ECMO患者脑死亡判定与常规患者存在一定程度的差异,精确判断ECMO患者脑死亡的诊断仍然是一个挑战。本文就ECMO患者脑死亡判定方法的相关研究成果做出以下综述。In recent years,extracorporeal membrane oxygenation(ECMO) has been widely used in cardiopulmonary failure caused by various causes,saving lives of many dying patients.In our country,ECMO is still limited as a scarce resource,so it is necessary to optimize the rational application of ECMO resources.Clinicians need to assess brain death in this patient population in a timely and effective manner to address post-brain death determination medical issues.However,there is a certain degree of difference from the conventional determination of brain death in patients,and the accurate diagnosis of brain death in ECMO patients still remains a challenge.This article makes the following review on the related research results of brain death determination methods in ECMO patients.

关 键 词：体外膜氧合 体外生命支持 脑死亡 自主呼吸激发试验 

分 类 号：R459.7[医药卫生—急诊医学]