Division of Acute Care Surgery, Department of Surgery, University of Michigan Health System, 1500 East Medical Center Drive, 1C340A-UH, SPC 5033, Ann Arbor, MI 48109-5033, USA.
Crit Care Clin. 2011 Jul;27(3):627-46. doi: 10.1016/j.ccc.2011.05.009.
The role of extracorporeal membrane oxygenation (ECMO) in supporting adult refractory respiratory failure continues to evolve. Technical advances and the clinical challenges of H1N1 associated severe ARDS have spurred a resurgence of interest in ECMO. Published systematic review and pooled analyses point out the limitations of available studies, however, a growing body of evidence suggest potential for benefit. Referral to a specialized center with ECMO experience should be considered early after the initiation of high-level ventilator support in adult patients with severe ARDS.
体外膜肺氧合（ECMO）在支持成人难治性呼吸衰竭中的作用不断发展。技术进步和 H1N1 相关严重 ARDS 的临床挑战促使人们重新关注 ECMO。已发表的系统评价和汇总分析指出了现有研究的局限性，但越来越多的证据表明 ECMO 可能具有益处。在成人严重 ARDS 患者接受高水平呼吸机支持后，应尽早考虑转至具有 ECMO 经验的专业中心。
