体外膜肺氧合(ECMO)在围术期气道管理中的应用  

Application of ECMO in perioperative airway management

作　　者：张毅[1] 申乐[1] ZHANG Yi;SHEN Le(Department of Anesthesiology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院麻醉科,北京100730

出　　处：《基础医学与临床》2025年第4期422-427,共6页Basic and Clinical Medicine

基　　金：中国医学科学院医学与健康科技创新工程探索研究专项(2024-I2MTS-001)。

摘　　要：传统气道管理在高风险患者或复杂病例中可能无法提供足够的氧合和通气支持,而体外膜肺氧合(ECMO)作为一种体外生命支持技术,通过持续的氧合和血流动力学支持,为围术期气道管理提供了重要保障。ECMO适用于困难气道、复杂气道手术、紧急气道管理等多种场景,其在保障围术期安全、优化术野暴露、降低围术期严重并发症风险和改善患者预后方面具有重要价值。Traditional airway management techniques may fail to provide adequate oxygenation and ventilation for high-risk patients in complex cases.As an extracorporeal life support(ECLS)technology,extracorporeal membrane oxygenation(ECMO)offers continuous oxygenation and homodynamic support for these patients and provides critical assistance in perioperative airway management.ECMO can be applied in various scenarios,including difficult airways,complex airway surgeries and emergency airway management.It plays a vital role in ensuring peri-operative safety,optimizing surgical field exposure,reducing the risk of severe peri-operative complications and improving clinical outcomes.

关 键 词：体外膜肺氧合 气道管理 困难气道 紧急气道 中央气道阻塞 

分 类 号：R614[医药卫生—麻醉学]