一种ECMO敷料的设计与应用  

Design and application of an extracorporeal membrane oxygenation dressing

作　　者：周露 岳燕 涂舒涵 邓敏 宋秋莲 Zhou Lu;Yue Yan;Tu Shuhan;Deng Min;Song Qiulian(Department of Critical Care Medicine,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610032,Sichuan,China)

机构地区：[1]成都中医药大学附属医院重症医学科,四川成都610032

出　　处：《中国中西医结合急救杂志》2024年第3期361-363,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

摘　　要：体外膜肺氧合(ECMO)作为一种有效的体外循环支持系统,对治疗严重心肺系统疾病具有重要意义。ECMO导管的有效固定可以避免移位、意外拔管等不良事件的发生,从而保证ECMO治疗的有效性和连续性。目前临床上多采用透明敷料、外科敷贴及绷带等多种工具结合的方式,但这种方式存在固定不够牢靠、外观不够美观整洁、更换不够方便等问题,尚缺乏特异性有效敷料来固定ECMO导管,为此成都中医药大学附属医院重症医学科医务人员特设计了一种ECMO敷料,并获得了国家实用新型专利(专利号:ZL 202120543021.3)。该装置包括依次薄弱连接的上部敷料、中部敷料、下部敷料3个部分。上部敷料顶面为上部敷料层,上部敷料层顶面设有第1刻度标识,底面中部设有纱布层;中部敷料顶面为中部敷料层,底面2个长度方向边沿设有网状层,2个网状层之间设有切口纱布,切口纱布2个长度边沿连接网状层,切口纱布与中部敷料层之间设有塑料薄膜,切口纱布沿长度方向等间隔设有裂缝,中部敷料层顶面设有第2刻度标识;下部敷料与中部敷料的连接处设有开口,下部敷料底面为胶黏层。该装置设计简单,固定效果好,方便更换,可避免导管滑脱、移位,减少器械相关压力性损伤的发生,提高临床工作质量,值得临床推广应用。Extracorporeal membrane oxygenation(ECMO),an effective extracorporeal circulation support system,holds significant importance in the treatment of severe cardiovascular and pulmonary diseases.Effective fixation of ECMO catheters can prevent adverse events such as displacement and accidental extubation,thereby ensuring the effectiveness and continuity of ECMO treatment.At present,various tools such as transparent dressings,surgical dressings,and bandages are commonly used in clinical practice.However,there are problems such as insufficient fixation,unattractive and tidy appearance,and inconvenient replacement.There is still a lack of specific and effective dressings to fix ECMO catheters.Therefore,the medical staff from department of critical care medical of Hospital of Chengdu University of Traditional Chinese Medicine designed ECMO dressing,and obtained the National Utility Model Patent of China(patent number:ZL 202120543021.3),which includes 3 parts:upper dressing,middle dressing,and lower dressing with weak connections in sequence.The top surface of the upper dressing is the upper dressing layer,which is marked with a first scale.The middle part of the bottom surface of the upper dressing layer is fixed with a gauze layer.The top surface of the middle dressing is the middle dressing layer,and the bottom surface of the middle dressing layer is fixedly equipped with a mesh layer along the edges of the 2 length directions.There is a cutting gauze between the 2 mesh layers,and the 2 length edges of the cutting gauze are fixedly connected to the mesh layer.There is a plastic film between the cutting gauze and the middle dressing layer,and cracks are evenly spaced along the length direction of the cutting gauze.The top surface of the middle dressing layer is marked with a second scale.There is an opening at the connection between the lower dressing and the middle dressing,and the bottom surface of the lower dressing is an adhesive layer.This utility model,simple design,good fixing effect,convenient replacement,can av

关 键 词：体外膜肺氧合 体外生命支持 敷料 设计 应用 

分 类 号：R459.7[医药卫生—急诊医学]