Li Xiangjie,Peng Wei.Application advances of extracorporeal membrane oxygenation in pediatric congenital heart disease surgery[J].Journal of Clinical Pediatric Surgery,2022,21(06):576-581.[doi:10.3760/cma.j.cn101785-202202042-015]
小儿先天性心脏病围手术期体外膜氧合技术的应用进展
- Title:
- Application advances of extracorporeal membrane oxygenation in pediatric congenital heart disease surgery
- 摘要:
- 随着机械循环支持（mechanical circulatory support，MCS）技术的发展，体外膜氧合（extracorporeal membrane oxygenation，ECMO）技术被作为机械循环支持的主要治疗手段，应用于心源性休克、低氧血症、呼吸衰竭、心肺复苏等紧急情况。近年来，ECMO技术在小儿先天性心脏病（congenital heart disease，CHD）围手术期的应用受到人们越来越多的关注，但也存在一定的局限性。本文概述ECMO技术在CHD患儿围手术期的应用进展，讨论ECMO技术应用于CHD患儿的适应证、禁忌证以及相关并发症与应对策略。
- Abstract:
- With a rapid technological development of mechanical circulatory support (MCS), extracorporeal membrane oxygenation (ECMO) has been applied for such emergencies as cardiogenic shock, hypoxemia, respiratory failure and cardiopulmonary resuscitation.In recent years, its application during perioperative period of pediatric congenital heart disease (CHD) has attracted widespread attention, along with some limitations and complications.This review summarized the application progress of ECMO technology during perioperative period and discussed its indications, contraindications, complications and coping strategies in CHD children.
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备注/Memo
收稿日期:2022-02-21。
基金项目:南京市卫生科技发展项目（YKK20118）
通讯作者:彭卫,Email:pwking@sina.com