Calhoun Alex
Allegheny Health Network, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Crit Care Nurs Q. 2018 Oct/Dec;41(4):394-398. doi: 10.1097/CNQ.0000000000000226.
Extracorporeal membrane oxygenation (ECMO) is used for both cardiac and pulmonary failure when conventional measures are no longer substantial in supporting life. ECMO is not a permanent device. It is used as a temporary measure to allow the lungs and heart, as well as other organs to recover. If recovery is not possible, it may also be used as a bridge to a more permanent device such as the left ventricular assist device or heart or lung transplantation. This is a detailed description of the differences between venovenous ECMO and venoarterial ECMO and the nursing care that is associated with the two. A case study of a 37-year-old man on ECMO due to cardiogenic shock is included.
当传统措施在维持生命方面不再充分有效时，体外膜肺氧合（ECMO）可用于治疗心脏和肺功能衰竭。ECMO并非永久性装置。它被用作一种临时措施，以使肺、心脏以及其他器官得以恢复。如果无法恢复，它也可作为通向更永久性装置（如左心室辅助装置或心脏或肺移植）的桥梁。本文详细描述了静脉-静脉ECMO和静脉-动脉ECMO之间的差异以及与这两种方式相关的护理。其中还包括了一名因心源性休克接受ECMO治疗的37岁男性的病例研究。
