战创伤危重伤员院前体外心肺复苏的应用  

Application of pre-hospital ECPR for the wounded critically in war trauma

作　　者：童智慧 叶建熙 TONG Zhihui;YE Jianxi(Department of Critical Care Medicine,Jinling Hospital,Medical School of Nanjing University/General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China;Department of Extracorporeal Circulation,Xiamen Cardiovascular Hospital,Xiamen University,Xiamen 361006,Fujian,China)

机构地区：[1]南京大学医学院附属金陵医院(东部战区总医院)重症医学科,南京210002 [2]厦门大学附属心血管病医院体外循环科,厦门361006

出　　处：《医学研究与战创伤救治》2024年第10期1009-1013,共5页Journal of Medical Research & Combat Trauma Care

摘　　要：体外心肺复苏(ECPR)近年来应用逐年增多,目前主要在医院内应用于心源性心脏骤停患者。战创伤危重伤员在院前进行ECPR救治非常必要。文章从提高平时院前ECPR救治成功率、战创伤危重伤员的特点、院前ECPR的适应证、启动时机等方面进行阐述,探讨院前ECPR在战创伤危重伤员救治中的应用及注意事项。In recent years,the application of external cardiopulmonary resuscitation(ECPR)has increased year by year,and it should be mainly used in hospitals for patients with cardiogenic CA.Pre-hospital ECPR treatment is necessary for the wounded critically in war trauma.This paper discusses the application and attention of pre-hospital ECPR in the treatment of the wounded critically in war trauma from the aspects of improving the success rate of pre-hospital ECPR treatment,the characteristics of the wounded critically in war trauma,the indications of pre-hospital ECPR,and the starting time.

关 键 词：危重伤员 体外膜肺氧合 院前体外心肺复苏 适应证 

分 类 号：R826.1[医药卫生—临床医学]