Ng G Wy, Yuen H J, Sin K C, Leung A Kh, Au Yeung K W, Lai K Y
Department of Intensive Care, Queen Elizabeth Hospital, Jordan, Hong Kong.
Hong Kong Med J. 2017 Jun;23(3):282-90. doi: 10.12809/hkmj166096. Epub 2017 May 5.
With advances in mechanical circulation, venoarterial extracorporeal membrane oxygenation has become an established technique to provide cardiopulmonary support for patients with cardiovascular collapse. This article reviews the physiological principles of such extracorporeal technique and its interaction with the native heart. Practical aspects including equipment, patient selection, and common complications with their prevention and specific management are summarised. The strategy for weaning from venoarterial extracorporeal membrane oxygenation is also discussed.
随着机械循环技术的进步，静脉-动脉体外膜肺氧合已成为为心血管衰竭患者提供心肺支持的成熟技术。本文回顾了这种体外技术的生理原理及其与自身心脏的相互作用。总结了包括设备、患者选择以及常见并发症的预防和具体管理等实际问题。还讨论了撤离静脉-动脉体外膜肺氧合的策略。
