JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (11): 40-43.doi: 10.6040/j.issn.1671-7554.0.2015.835

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Retrospective analysis of 36 critical patients treated by extracorporeal menlbrarle oxygenation

CHEN Chunyan, LIU Xiaojun, QI Shaoyan, WANG Wentao   

  1. Intensive Care Unit, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou 450014, Henan, China
  • Received:2015-09-02 Online:2016-11-10 Published:2016-11-10

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Abstract: Objective To investigate the therapeutic effects and safety of extracorporeal menlbrarle oxygenation(ECMO)on critical patients with respiratory or circulatory failure. Methods Medical records of 36 critical patients treated by ECMO from August 2012 to April 2015 in the Second Affiliated Hospital of Zhengzhou University were reviewed; the prognosis, complications and influencing factors were summarized and analyzed. Results Survival rate of patients treated with ECMO in our hospital was 50.0%, in which circulatory support and respiratory support were 33.3% and 50.0%, respectively. The incidence rate of complications was 37.8%. The lactic acid level in arteries blood before ECMO was an influencing factor of prognosis, and had significant statistical difference between survival and dead patients(P<0.05). Conclusion ECMO is an effective therapy method for critical patients with respiratory or circulatory failure, but it still has many clinical difficulties and complications. Taking the right time and decreasing the occurrence of complication is important.

Key words: Circulatory failure, Extracorporeal menlbrarle oxygenation, Respiratory failure

CLC Number: 

  • R318.1
[1] 中华医学会重症医学分会. 急性肺损伤/急性呼吸窘迫综合征诊断和治疗指南(2006)[J]. 中国危重病急救医学,2006, 18(12):706-710
[2] MacLaren G, Combes A, Bartlett RH. Contemporary extracorporeal membrane oxygenation for adult respiratory failure: life support in the new era[J]. Intensive Care Med, 2012, 38(2): 210-220.
[3] 中华医学会呼吸病学分会危重症医学学组. 体外膜肺氧合治疗成人重症呼吸衰竭临床操作推荐意见[J]. 中华结核和呼吸杂志,2014, 37(8): 572-578.
[4] 段大为,李彤,秦英智,等. 体外膜肺氧合在甲型H1N1流感患者肺功能支持中的应用[J]. 中国危重病急救医学,2010, 22(3): 161-163.
[5] Kane DA, Thiagarajan RR, Wypij D, et al. Rapid-response extracorporeal membrane oxygenation to support cardiopulmonary resuscitation in children with cardiac disease[J]. Circulation, 2012, 122(11 suppl): S241-S248.
[6] Langham MR Jr, Kays DW, Beierle EA, et al. Expanded application of extracorporeal membrane oxygenation in pediatric surgery practice[J]. Ann Surg, 2003, 237(6): 766-772.
[7] 赵举,黑飞龙,李斌飞,等. 中国体外生命支持临床汇总报告[J]. 中国体外循环杂志, 2011, 9(1): 1-5. ZHAO Ju, HEI Feilong, LI Binfei, et al. The clinical report of Chinese extracorporeal life support[J]. Chin J ECC, 2011, 9(1): 1-5.
[8] Paden ML, Conrad SA, Rycus PT, et al. Extracorporeal Life Support Organization Registry Report 2012[J]. ASAIO, 2013, 59(2): 202-210.
[9] 李宏亮,孟超,朱曦,等. 体外膜肺氧合应用于危重症患者的初步探讨[J]. 中国危重病急救医学, 2012, 24(2): 86-89.
[10] Meyer DM, Jessen ME, Eberhart RC. Neonatal extracorporeal membrane oxygenation complicated by sepsis. Extracorporeal Life Support Organization[J]. Ann Thorac Surg, 1995, 59(4): 975-980.
[11] Meyns B, Vercaemst L, Vandezande E, et al. Plasma leakage of oxygenation in ECMO depends on the type of oxygenator and on patient variables[J]. Int J Artif Organs, 2005, 28(1): 30-34.
[12] 龙村,胡盛寿,刘晋萍,等. 体外膜肺氧合支持治疗39例心肺功能衰竭患者的临床经验[J]. 中国循环杂志, 2007, 22(5): 373-376. LONG Cun, HU Shengshou, LIU Jinping, et al. Clinical Experience of 39 patients managed by extracorporeal membrane oxygenation[J]. Chinese Circulation Journal, 2007, 22(5): 373-376.
[13] Li J, Long C, Lou S, et al. Venoarterial extracorporeal membrane oxygenation in adult patients: predictors of mortality[J]. Perfusion, 2009, 24(4): 225-230.
[14] 候六生,谢钢,蒋崇慧,等. 影响体外膜肺氧合救治成人心源性休克预后的因素分析[J]. 中华急诊医学杂志, 2012, 21(5): 510-513.
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