[小儿机械性心脏辅助]

[Paediatric mechanical cardiac assistance].

作者信息

Corno Antonio F, Horisberger Judith, Boone Yves, Jegger David, Seigneul Isabelle, Suatton Gerard, von Segesser Ludwig K

出版信息

Rev Med Suisse Romande. 2002 Mar;122(3):137-40.

PMID:12014251

Abstract

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.

摘要

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。