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Alternatives to ECMO.体外膜肺氧合（ECMO）的替代方案。
Arch Dis Child Fetal Neonatal Ed. 1994 Mar;70(2):F81-3. doi: 10.1136/fn.70.2.f81.
2
Neonatal ECMO: iron lung of the 1990s?新生儿体外膜肺氧合：20世纪90年代的铁肺？
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Extracorporeal membrane oxygenation in neonatal respiratory failure. A brief overview.新生儿呼吸衰竭中的体外膜肺氧合。简要概述。
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[Development of extracorporeal membrane oxygenation for neonates with severe respiratory failure].[用于严重呼吸衰竭新生儿的体外膜肺氧合技术的发展]
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引用本文的文献

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Occupational exposure during nitric oxide inhalational therapy in a pediatric intensive care setting.儿科重症监护环境中一氧化氮吸入治疗期间的职业暴露。
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本文引用的文献

1
Volume-controlled ventilation for severe neonatal respiratory failure.用于严重新生儿呼吸衰竭的容量控制通气
Neonatal Intensive Care. 1992 May-Jun;5(3):70-3.
2
Volume limited ventilation for treatment of severe respiratory distress in neonates.容量限制通气治疗新生儿严重呼吸窘迫
Acta Anaesthesiol Belg. 1984;35 Suppl:379-86.
3
Proximal high-frequency jet ventilation of the newborn.新生儿近端高频喷射通气
Pediatr Pulmonol. 1985 Sep-Oct;1(5):267-71. doi: 10.1002/ppul.1950010509.
4
Management of infants with severe respiratory failure and persistence of the fetal circulation, without hyperventilation.重度呼吸衰竭且存在持续胎儿循环的婴儿的管理，不进行过度通气。
Pediatrics. 1985 Oct;76(4):488-94.
5
Extracorporeal circulation in neonatal respiratory failure: a prospective randomized study.新生儿呼吸衰竭的体外循环：一项前瞻性随机研究。
Pediatrics. 1985 Oct;76(4):479-87.
6
Endothelium-derived relaxing factor produced and released from artery and vein is nitric oxide.从动脉和静脉产生并释放的内皮源性舒张因子是一氧化氮。
Proc Natl Acad Sci U S A. 1987 Dec;84(24):9265-9. doi: 10.1073/pnas.84.24.9265.
7
Survival of infants with persistent pulmonary hypertension without extracorporeal membrane oxygenation.未使用体外膜肺氧合的持续性肺动脉高压婴儿的存活率。
Pediatrics. 1989 Jul;84(1):1-6.
8
Extracorporeal membrane oxygenation and conventional medical therapy in neonates with persistent pulmonary hypertension of the newborn: a prospective randomized study.体外膜肺氧合与传统药物治疗用于新生儿持续性肺动脉高压：一项前瞻性随机研究。
Pediatrics. 1989 Dec;84(6):957-63.
9
High-frequency oscillatory ventilation and extracorporeal membrane oxygenation for the treatment of acute neonatal respiratory failure.高频振荡通气与体外膜肺氧合治疗新生儿急性呼吸衰竭
Pediatrics. 1990 Feb;85(2):159-64.
10
ECMO indications and complications.体外膜肺氧合的适应症和并发症。
Hosp Pract (Off Ed). 1990 Jun 15;25(6):143-6, 149-50, 153-7. doi: 10.1080/21548331.1990.11703962.

体外膜肺氧合（ECMO）的替代方案。

Alternatives to ECMO.

作者信息

Donn S M

机构信息

Holden Neonatal Intensive Care Unit, University of Michigan Medical Center, Ann Arbor 48109-0254.

出版信息

Arch Dis Child Fetal Neonatal Ed. 1994 Mar;70(2):F81-3. doi: 10.1136/fn.70.2.f81.

DOI:10.1136/fn.70.2.f81
PMID:7802759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1061005/
Abstract

The past decade has witnessed technological advancements which are unparalleled in neonatology. ECMO has been demonstrated to be a powerful rescue treatment, but has perhaps been overutilised and is not universally available. Alternative treatments have been shown to be both safe and efficacious in the management of infants with respiratory failure. Direct head to head clinical trials will probably be necessary to establish appropriate criteria and indications for use, given the wide diversity of pathophysiology these unique patients present.

摘要

过去十年见证了新生儿学领域前所未有的技术进步。体外膜肺氧合（ECMO）已被证明是一种强大的挽救治疗方法，但可能存在过度使用的情况，且并非普遍可用。在治疗呼吸衰竭婴儿方面，其他治疗方法已被证明既安全又有效。鉴于这些特殊患者所呈现的病理生理学具有广泛多样性，可能需要直接的头对头临床试验来确定合适的使用标准和适应症。