摘要
目的总结急诊医护团队主导的体外膜肺氧合（ECMO）在急诊应用的效果，为急诊科开展ECMO提供经验。方法回顾性分析2015年4月至2016年12月南京医科大学第一附属医院急诊医学中心运用ECMO救治16例患者的临床资料。记录患者的人口学特征、疾病诊断、启动时机、建立地点、插管方法、ECMO支持时间、并发症发生情况及患者转归等。结果16例患者中成功撤机8例，存活出院7例。ECMO支持时间为4—384h。急诊医护主导的ECMO团队逐渐建立并基本规范。结论急诊医护团队可成功开展ECMO。急诊医护团队主导的ECMO在急诊呼吸衰竭、循环衰竭及心脏骤停治疗领域有广阔的应用前景。
Objective To summarize the efficacy of extracorporeal membrane oxygenation （ECMO） utilization in Emergency Department （ED）, as well as the establishment of emergency ECMO team. Methods A retrospective analysis was carried out in 16 patients treated with ECMO between April 2015 to December 2016 in ED. The clinical data including demographics, diagnosis, initiating ECMO timing, place of ECMO establiskment, intubation approaches, duration of ECMO, complications and outcomes were collected and analyzed. Results Eight patients were successfully weaned from ECMO, and 7 of them survived to discharge from hospital. The duration of ECMO support was 4 to 384 hours. The emergency ECMO team was set up. Conclusions Emergency medical team can successfully operate the ECMO process. The emergency medical team-initiated ECMO can provide effectively adjuvant measures to support patients with respiratory failure, circulatory failure and cardiac arrest.
出处
《中华急诊医学杂志》
CAS
CSCD
北大核心
2017年第10期1115-1119,共5页
Chinese Journal of Emergency Medicine
关键词
急诊医生
体外膜肺氧合
呼吸衰竭
循环衰竭
心脏骤停
Emergency physician
ECMO
Respiratory failure
Circulatory failure
Cardiac arrest
