体外膜肺氧合联合俯卧位通气治疗重症呼吸衰竭的新进展  

New advances in the application of extracorporeal membrane oxygenation in combination with prone position ventilation for the treatment of severe respiratory failure

作　　者：黄乾萍 朱瑞凯 卢国浩 吕文权 张瀚尹 张委威 HUANG Qian-ping;ZHU Rui-kai;LU Guo-hao;LV Wen-quan;ZHANG Han-yin;ZHANG Wei-wei(Department of Emergency Medicine,Guangxi Hospital,the First Affiliated Hospital of Zhongshan University,Guangxi Nanning 530021,China)

机构地区：[1]中山大学附属第一医院广西医院急诊科,广西南宁530021

出　　处：《内科急危重症杂志》2023年第6期446-449,共4页Journal of Critical Care In Internal Medicine

摘　　要：近年来,体外膜肺氧合(ECMO)和俯卧位通气作为重症呼吸衰竭治疗中的两种重要手段,被广泛应用于临床实践中。本文就ECMO联合俯卧位通气在治疗重症呼吸衰竭中的原理,在改善氧合、减少机械通气时间、降低肺损伤等方面的作用机制和临床效果进行综述,分析目前该领域存在的问题,对未来的研究方向提出展望。In recent years,both extracorporeal membrane oxygenation(ECMO)and prone position ventilation have been widely used as important interventions in the treatment of severe respiratory failure.This article provides a comprehensive review of the principles behind the combination of ECMO and prone position ventilation in the treatment of severe respiratory failure,including their effects on oxygenation improvement,reduction in mechanical ventilation duration,and mitigation of lung injury.Additionally,the existing challenges in this field are analyzed,and future research directions are proposed.

关 键 词：体外膜肺氧合 俯卧位通气 重症呼吸衰竭 治疗进展 

分 类 号：R563.8[医药卫生—呼吸系统]