[围手术期医学中的外周体外膜氧合:原理、适应症和挑战]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI:10.1007/s00104-024-02135-5
Stany Sandrio, Grietje Beck, Joerg Krebs, Matthias Otto
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引用次数: 0

摘要

近年来,因严重呼吸衰竭或心源性休克而在重症监护室接受体外膜氧合(ECMO)治疗的患者人数稳步上升[1]。因此,这些患者的侵入性程序和手术数量也在增加。因此,对这些系统和临床适应症的基本了解对执业(非心脏)外科医生很有帮助。这篇综述文章的重点是外周 ECMO 程序:用于呼吸衰竭患者的静脉 (V-V) ECMO 和用于心源性休克循环支持的静脉动脉 (V-A) ECMO。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Peripheral extracorporeal membrane oxygenation in perioperative medicine : Principles, indications and challenges].

In recent years the number of patients treated in intensive care units by extracorporeal membrane oxygenation (ECMO) due to severe respiratory failure or cardiogenic shock has steadily increased [1]. Consequently, the number of invasive procedures and operations in these patients has also increased. A fundamental understanding of these systems and the clinical indications is therefore helpful for the practicing (non-cardiac) surgeon. This review article focuses on peripheral ECMO procedures: venovenous (V-V) ECMO for patients with respiratory failure and venoarterial (V-A) ECMO for circulatory support in cardiogenic shock.

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