Montiès J R, Caus T, Mesana T, Pomane C, Mouly-Bandini A, Guez P
Department of Cardio-Thoracic Surgery, C.H.U. Timone, Marseille, France.
Artif Organs. 1995 Jul;19(7):750-5. doi: 10.1111/j.1525-1594.1995.tb02418.x.
Use of cardiopulmonary support (CPS) by peripheral access with a membrane oxygenator has made considerable progress as a result of the development of centrifugal pumps, percutaneous cannulation, and preheparinized circuits. We have used CPS for resuscitation in 3 cases, for recovery after cardiotomy in 6 cases (myocardial insufficiency, 4; pulmonary arterial hypertension, 1; respiratory insufficiency, 1), and after heart transplantation in 1 case. Of these 10 patients, 3 died during CPS, 5 were successfully weaned, and 2 underwent heart transplantation. Use of CPS is expanding for emergency cardiac assistance. Installation is simple and rapid. It allows recovery of organs pending more invasive and costly techniques.
由于离心泵、经皮插管技术以及预肝素化回路的发展，通过外周通路使用膜式氧合器进行心肺支持（CPS）已经取得了显著进展。我们已将CPS用于3例患者的复苏、6例心脏切开术后的恢复（心肌功能不全4例、肺动脉高压1例、呼吸功能不全1例）以及1例心脏移植术后。在这10例患者中，3例在CPS期间死亡，5例成功撤机，2例接受了心脏移植。CPS在紧急心脏辅助方面的应用正在不断扩大。其安装简便快捷。它能够在采用更具侵入性且成本更高的技术之前使器官功能得以恢复。
