小儿体外膜肺氧合：给急诊医学医师的介绍
Pediatric Extracorporeal Membrane Oxygenation: An Introduction for Emergency Medicine Physicians.
作者信息
Gehrmann Lynn P, Hafner John W, Montgomery Daniel L, Buckley Klayton W, Fortuna Randall S
机构信息
Department of Emergency Medicine, Ministry Medical Group Saint Mary's Hospital, Rhinelander, Wisconsin.
Department of Emergency Medicine, University of Illinois College of Medicine at Peoria, Peoria, Illinois; Department of Emergency Medicine, Children's Hospital of Illinois at OSF Saint Francis Medical Center, Peoria, Illinois.
出版信息
J Emerg Med. 2015 Oct;49(4):552-60. doi: 10.1016/j.jemermed.2015.02.010. Epub 2015 May 15.
BACKGROUND
Extracorporeal membrane oxygenation (ECMO) therapy has supported critically ill pediatric patients in the intensive care unit setting with cardiac and respiratory failure. This therapy is beginning to transition to the emergency department setting.
OBJECTIVE OF REVIEW
This article describes the fundamentals of ECMO and familiarizes the emergency medicine physician with its use in critically ill pediatric patients.
DISCUSSION
ECMO can be utilized as either venoarterial (VA) or venovenous (VV), to support oxygenation and perfusion in respiratory failure, sepsis, cardiac arrest, and environmental hypothermia.
背景
体外膜肺氧合（ECMO）治疗已在重症监护病房环境中为患有心脏和呼吸衰竭的危重症儿科患者提供支持。这种治疗正开始向急诊科环境过渡。
综述目的
本文描述了ECMO的基本原理，并使急诊医学医生熟悉其在危重症儿科患者中的应用。
讨论
ECMO可作为静脉-动脉（VA）或静脉-静脉（VV）模式使用，以支持呼吸衰竭、脓毒症、心脏骤停和环境性低温时的氧合和灌注。
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