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[新生儿体外膜肺氧合——跨学科项目管理实例]

[Extracorporeal membrane oxygenation of the newborn infant--an example of interdisciplinary project management].

作者信息

Bartsch H, Toussaint S, Kewitz G, Kössel H, Philippi W, Eyrich K, Versmold H, Waldschmidt J

机构信息

Klinik für Anästhesiologie und operative Intensivmedizin, Universitätklinikum Steglitz, Berlin.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 1995 Nov;30(7):420-5. doi: 10.1055/s-2007-996520.

Abstract

In the last three years an interdisciplinary ECMO (extracorporeal membrane oxygenation) team has been set up at the Free University of Berlin in the Steglitz clinic. With this form of management, newborns only a few hours or days old who present with pulmonary failure can temporarily be managed with extracorporeal oxygenation until normal lung function is restored. The set up of this ECMO team, starting with experimental training in animal models, to the bedside clinical use is discussed. The following presentation of the first four cases managed here with ECMO aims to clarify the problems which may be encountered as well as amplifying its use as a life-saving measure.

摘要

在过去三年里,柏林自由大学施泰格利茨诊所组建了一个跨学科的体外膜肺氧合(ECMO)团队。通过这种管理方式,出生仅数小时或数天且出现肺衰竭的新生儿可通过体外氧合进行临时处理,直至恢复正常肺功能。本文讨论了该ECMO团队的组建情况,从动物模型的实验培训开始,到床边临床应用。以下介绍在此接受ECMO治疗的前四例病例,旨在阐明可能遇到的问题,并进一步推广其作为一种挽救生命措施的应用。

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