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中华重症医学电子杂志 ›› 2016, Vol. 02 ›› Issue (04) : 273 -276. doi: 10.3877/cma.j.issn.2096-1537.2016.04.011

所属专题: 重症医学 文献

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急性呼吸窘迫综合征:我选择体外膜肺氧合
顾思超1, 夏金根1, 李敏1, 易丽1, 詹庆元1,()   
  1. 1. 100029 北京, 卫生计生委中日友好医院呼吸与危重症医学科
  • 收稿日期:2016-11-04 出版日期:2016-11-28
  • 通信作者: 詹庆元
  • 基金资助:
    国家重点研发计划项目(2016YFC1304300); 国家自然青年科学基金项目(81401629); 首都临床特色应用研究与成果推广项目(Z161100000516116)

To treat acute respiratory distress syndrome: I prefer extracorporeal membrane oxygenation

Sichao Gu1, Jingen Xia1, Min Li1, Li Yi1, Qingyuan Zhan1,()   

  1. 1. Department of Respiratory and Critical Care Medicine, China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2016-11-04 Published:2016-11-28
  • Corresponding author: Qingyuan Zhan
  • About author:
    Corresponding author: Zhan Qingyuan, Email:
引用本文:

顾思超, 夏金根, 李敏, 易丽, 詹庆元. 急性呼吸窘迫综合征:我选择体外膜肺氧合[J]. 中华重症医学电子杂志, 2016, 02(04): 273-276.

Sichao Gu, Jingen Xia, Min Li, Li Yi, Qingyuan Zhan. To treat acute respiratory distress syndrome: I prefer extracorporeal membrane oxygenation[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2016, 02(04): 273-276.

急性呼吸窘迫综合征(acute respiratory distress syndrom,ARDS)是临床常见危重症,目前多采用保护性肺通气策略,但部分患者仍难以纠正低氧血症及高碳酸血症,或并发气压伤,病死率居高不下。体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)能够完全或部分替代心肺功能,应用于重度ARDS具有诸多优势,包括减少呼吸机相关肺损伤、纠正低氧血症、辅助撤机等,真正做到"肺休息" 。虽然应用ECMO的预后仍不十分确切,治疗的风险和费用较高,但随着各项技术的进步与经验的积累,ECMO的应用必将有更广阔的前景。

Acute respiratory distress syndrome (ARDS) is a common clinical critical illness, which is usually treated with lung protective ventilation stratagy. It?s still difficult to correct hypoxemia and hypercapnia in some severe patients, who are also prone to barotrauma and have a higher mortality rate. Extracorporeal membrane oxygenation (ECMO) can completely or partially support cardiopulmonary function, showing many advantages in treating severe ARDS, such as reducing ventilator induced lung injury, correcting hypoxemia and assisting weaning. Although there is no certainty with the outcome of ECMO patients and ECMO brings about a higher treatment risk and cost, the application of ECMO still shows a more broad prospect with improvement of technique and accumulation of experiences.

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