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[一种体外膜肺氧合(ECMO)的简单方法——3. 无泵ECMO(动静脉分流)对24小时动脉血气测量结果的影响]

[A simple method of extracorporeal membrane oxygenation (ECMO)--3. The effects of pumpless ECMO (arterio-venous shunt) on arterial blood gas measured for 24 hours].

作者信息

Kasama A, Katada M, Kaya K, Ohmura M, Tahara H, Ohara T

机构信息

Department of Anesthesiology, Tokyo Metropolitan Komagome Hospital.

出版信息

Masui. 1990 Feb;39(2):162-7.

PMID:2109135
Abstract

In eight anesthetized mongrel dogs, the pumpless ECMO applied between the femoral artery and vein was performed under the condition of hypoventilation for 24 hours. The methods were same as the first and second reports, except the pumpless ECMO was used. The abnormal parameters in the cardiovascular and respiratory system (blood gas analysis and end expiratory gas analysis), induced by hypoventilation, recovered to almost normal ranges, by operation of the pumpless ECMO for 24 hours. The pumpless ECMO might have such advantages over ECMO with pump as the less destruction of blood cell, easy performance and simple apparatus. In conclusion, pumpless ECMO using arterio-venous shunt may be applied clinically on respiratory distress conditions.

摘要

在8只麻醉的杂种犬中,在低通气状态下于股动脉和静脉之间应用无泵体外膜肺氧合(ECMO)24小时。方法与前两篇报道相同,只是使用了无泵ECMO。由低通气引起的心血管和呼吸系统的异常参数(血气分析和呼气末气体分析),通过无泵ECMO运行24小时后恢复到几乎正常范围。无泵ECMO可能比有泵ECMO具有血细胞破坏少、操作简便和设备简单等优点。总之,使用动静脉分流的无泵ECMO可在临床上应用于呼吸窘迫情况。

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