体外膜肺氧合技术在气管手术中的应用：病例系列报道
Use of extracorporeal membrane oxygenation in tracheal surgery: a case series.
作者信息
Chang X, Zhang X, Li X, Xu M, Zhao H, Fang W, Yao F
机构信息
1Department of Extracorporeal Circulation, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China.
出版信息
Perfusion. 2014 Mar;29(2):159-62. doi: 10.1177/0267659113497072. Epub 2013 Aug 8.
OBJECTIVES
To review our experience of extracorporeal membrane oxygenation in airway management during tracheal surgery.
METHODS
A retrospective, observational study was conducted to evaluate the effectiveness of extracorporeal membrane oxygenation in tracheal surgery in Shanghai Chest Hospital between 2008 and 2012.
RESULTS
In all 91 tracheal surgeries, 7 high-risk cases used extracorporeal membrane oxygenation. The duration of extracorporeal membrane oxygenation support ranged from 10 min to 31 min. All extracorporeal membrane oxygenation patients underwent surgical procedures safely and there was no hospital mortality.
CONCLUSIONS
Although various advanced anesthesia techniques can ensure a safe airway in tracheal surgery in most cases, extracorporeal circulation plays an important role in high-risk cases.
目的
回顾我们在气管手术气道管理中应用体外膜肺氧合的经验。
方法
进行一项回顾性观察研究，以评估2008年至2012年期间上海胸科医院体外膜肺氧合在气管手术中的有效性。
结果
在所有91例气管手术中，7例高危病例使用了体外膜肺氧合。体外膜肺氧合支持时间为10分钟至31分钟。所有接受体外膜肺氧合的患者均安全接受了手术，且无院内死亡病例。
结论
尽管多种先进的麻醉技术在大多数情况下可确保气管手术中的气道安全，但体外循环在高危病例中发挥着重要作用。
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