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[冠状动脉搭桥术后呼吸衰竭的静脉-静脉体外膜肺氧合]

[Veno-venous ECMO for the respiratory failure after coronary artery bypass grafting].

作者信息

Fukushima Y, Ayabe T, Nakamura E, Yoshioka M, Matsuo Y, Onitsuka T

机构信息

Department of Surgery, Miyazaki Medical Association Hospital, Miyazaki, Japan.

出版信息

Kyobu Geka. 2002 Mar;55(3):203-6.

PMID:11889807
Abstract

We encountered a 60-year-old man with severe respiratory failure after CABG. The patient received veno-venous extracorporeal membrane oxygenation (ECMO) in which blood was drained from the right atrium through a cannula and was returned via a cannula in the left femoral vein. During ECMO, the flow rate was 2.8-3.0 l/min (about 40 ml/kg/min) and the assist was needed for 5 years. Veno-venous ECMO is a simple and effective therapy for acute respiratory failure unresponsive to conventional treatment.

摘要

我们遇到一名60岁男性,他在冠状动脉旁路移植术(CABG)后出现严重呼吸衰竭。该患者接受了静脉-静脉体外膜肺氧合(ECMO)治疗,血液通过一根插管从右心房引出,并通过左股静脉的一根插管回流。在ECMO治疗期间,流速为2.8 - 3.0升/分钟(约40毫升/千克/分钟),且需要辅助治疗5年。静脉-静脉ECMO是一种针对常规治疗无反应的急性呼吸衰竭的简单有效的治疗方法。

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