Corno Antonio F, Horisberger Judith, Boone Yves, Jegger David, Seigneul Isabelle, Suatton Gerard, von Segesser Ludwig K
Rev Med Suisse Romande. 2002 Mar;122(3):137-40.
The mechanical cardiac assistance, once limited only to the adult patients, is now progressively extended to the paediatric population, including neonates. Currently for children with cardiorespiratory insufficiency requiring for a mechanical assistance there are available several options: Intra-Aortic Balloon Pump, Extra-Corporeal Membrane Oxygenation (ECMO) et le Ventricular Assist Device. From April 1999 in our Department of Cardiovascular Surgery at CHUV 8 children, including 4 neonates, have been treated with ECMO. Indications, contra-indications, advantages, disadvantages, results and complications of the available options of paediatric mechanical cardiac assistance are described.
心脏机械辅助曾一度仅局限于成年患者，如今正逐渐扩展至儿科人群，包括新生儿。目前，对于有心脏呼吸功能不全且需要机械辅助的儿童，有多种选择：主动脉内球囊反搏、体外膜肺氧合（ECMO）以及心室辅助装置。自1999年4月起，在洛桑大学中心医院心血管外科，已有8名儿童接受了ECMO治疗，其中包括4名新生儿。本文描述了儿科心脏机械辅助现有选择的适应证、禁忌证、优点、缺点、治疗结果及并发症。
