Fuhrman B P, Dalton H J
Department of Pediatrics, State University of New York, Buffalo.
Crit Care Clin. 1992 Jan;8(1):191-202.
Prolonged complete support of the circulation and of gas exchange can be achieved by extracorporeal membrane oxygenation (ECMO) in infants and children with potentially reversible, albeit life-threatening, disease. This allows lung rest or cardiac rest at times when dependence in those organs would be physiologically expensive. Although ECMO has no intrinsic healing powers, pediatric hearts and lungs exhibit tremendous recuperative power once the cycle of injury, inefficient performance, abuse, and secondary injury can be broken. Recent advances in technology, although impressive, do not explain the rapid growth of clinical interest in ECMO. Most recent progress in ECMO derives from refinement of clinical practices and the application of this technology to new patient populations. ECMO is not itself an experiment. It is the application of ECMO that is experimental.
对于患有潜在可逆性（尽管危及生命）疾病的婴幼儿，体外膜肺氧合（ECMO）可实现对循环和气体交换的长期完全支持。这使得在这些器官依赖会在生理上造成高昂代价时，肺或心脏能够得到休息。尽管ECMO本身没有内在的治愈能力，但一旦损伤、低效运作、滥用和继发性损伤的循环能够被打破，小儿心脏和肺展现出巨大的恢复能力。技术上的最新进展虽然令人印象深刻，但并不能解释临床对ECMO兴趣的迅速增长。ECMO的最新进展源于临床实践的完善以及该技术在新患者群体中的应用。ECMO本身并非一项实验。而是ECMO的应用具有实验性。
