{"id":65835,"date":"2022-03-24T16:10:00","date_gmt":"2022-03-24T09:10:00","guid":{"rendered":"https:\/\/www.xinwengao.com\/cn\/pr\/2022032416100065835"},"modified":"2022-03-25T18:31:48","modified_gmt":"2022-03-25T10:31:48","slug":"%e5%bf%83%e6%93%8e%e5%8c%bb%e7%96%97%e4%b8%8e%e5%8c%97%e4%ba%ac%e5%ae%89%e8%b4%9e%e5%8c%bb%e9%99%a2%e8%81%94%e5%90%88%e7%a0%94%e5%8f%91ecmo%e9%a1%b9%e7%9b%ae%e5%90%af%e5%8a%a8%e4%bc%9a%e5%9c%86","status":"publish","type":"post","link":"https:\/\/www.xinwengao.com\/cn\/pr\/2022032416100065835","title":{"rendered":"\u5fc3\u64ce\u533b\u7597\u4e0e\u5317\u4eac\u5b89\u8d1e\u533b\u9662\u8054\u5408\u7814\u53d1ECMO\u9879\u76ee\u542f\u52a8\u4f1a\u5706\u6ee1\u53ec\u5f00"},"content":{"rendered":"<p><p><span class=\"xn-subheadline\">\u56fd\u4ea7ECMO\u65b0\u8fdb\u7a0b<\/span><\/p>\n<p>\u82cf\u5dde2022\u5e743\u670824\u65e5 \/\u7f8e\u901a\u793e\/ &#8212; 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class=\"PRN_ImbeddedAssetReference\" id=\"DivAssetPlaceHolder1727\">\n<p><a href=\"https:\/\/mma.prnasia.com\/media2\/1773058\/image_1.html\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/www.xinwengao.com\/cn\/wp-content\/uploads\/image_1-3036.jpg\" title=\"\" alt=\"\" \/><\/a><br \/><span><\/span><\/p>\n<\/p><\/div>\n<p>&nbsp;<\/p>\n<div class=\"PRN_ImbeddedAssetReference\" id=\"DivAssetPlaceHolder7120\">\n<p><a href=\"https:\/\/mma.prnasia.com\/media2\/1773092\/image_2.html\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/www.xinwengao.com\/cn\/wp-content\/uploads\/image_2-2535.jpg\" title=\"\" alt=\"\" \/><\/a><br 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Corporeal Membrane Oxygenation\uff0c\u5b66\u540d\u201c\u4f53\u5916\u819c\u80ba\u6c27\u5408\u88c5\u7f6e\u201d\uff0c\u97f3\u8bd1\u201c\u53f6\u514b\u819c\u201d\u3002ECMO\u4e5f\u88ab\u79f0\u4e3a\u4f53\u5916\u751f\u547d\u652f\u6301\u7cfb\u7edfECLS\uff08Extra Corporeal Life Support\uff09\u3002<b>\u56e0\u5176\u8f85\u52a9\u547c\u5438\u4e0e\u8840\u6db2\u5faa\u73af\uff0c\u88ab\u79f0\u4e3a\u751f\u547d\u652f\u6301\u6280\u672f\uff0c\u662f\u5fc3\u80ba\u8870\u7aed\u60a3\u8005\u751f\u547d\u7684\u201c<\/b><b>\u6700\u540e\u4e00\u9053\u9632\u7ebf\u201d<\/b><b>\u3002<\/b><\/p>\n<p>ECMO\u7684\u57fa\u672c\u7ed3\u6784\u6709\u52a8\u529b\u6cf5\uff08\u4eba\u5de5\u5fc3\u810f\uff09\u3001\u6c27\u5408\u5668\uff08\u4eba\u5de5\u80ba\uff09\u3001\u4f9b\u6c27\u7ba1\u3001\u76d1\u6d4b\u7cfb\u7edf\u3001\u8840\u7ba1\u5185\u63d2\u7ba1\u3001\u8fde\u63a5\u7ba1\u3002\u4e34\u5e8a\u4e0a\u5e38\u5c06\u53ef\u629b\u5f03\u90e8\u5206\u7ec4\u6210\u5957\u5305\uff0c\u4e0d\u53ef\u629b\u5f03\u90e8\u5206\u7ed1\u5b9a\u5b58\u653e\uff0c\u5e76\u8bbe\u8ba1\u4e3a\u53ef\u79fb\u52a8\uff0c\u63d0\u9ad8\u5e94\u6025\u80fd\u529b\u3002&nbsp;\u5176\u4e2d\uff0c<b>\u6700\u5173\u952e\u7684\u90e8\u4ef6\u5c31\u662f\u8840\u6db2\u6cf5\uff08\u79bb\u5fc3\u6cf5\uff09\u548c\u6c27\u5408\u5668\uff0c\u5206\u522b\u8d77\u5230\u4eba\u5de5\u5fc3\u810f\u548c\u4eba\u5de5\u80ba\u7684\u4f5c\u7528\uff0c\u53ef\u4ee5\u5bf9\u91cd\u75c7\u5fc3\u80ba\u529f\u80fd\u8870\u7aed\u60a3\u8005\u8fdb\u884c\u8f83\u957f\u65f6\u95f4\u7684\u5fc3\u80ba\u652f\u6301\uff0c\u4e3a\u62a2\u6551\u8d62\u5f97\u5b9d\u8d35\u7684\u65f6\u95f4\u3002<\/b><\/p>\n<p>ECMO\u7684\u539f\u7406\u662f\u5c06\u4f53\u5185\u7684\u9759\u8109\u8840\u5f15\u51fa\u4f53\u5916\uff0c\u7ecf\u8fc7\u7279\u6b8a\u6750\u8d28\u4eba\u5de5\u5fc3\u80ba\u65c1\u8def\u6c27\u5408\u540e\u6ce8\u5165\u75c5\u4eba\u52a8\u8109\u6216\u9759\u8109\u7cfb\u7edf\uff0c\u8d77\u5230\u90e8\u5206\u5fc3\u80ba\u66ff\u4ee3\u4f5c\u7528\uff0c\u7ef4\u6301\u4eba\u4f53\u810f\u5668\u7ec4\u7ec7\u6c27\u5408\u8840\u4f9b\u3002<\/p>\n<p>ECMO\u4e3b\u8981\u5206\u4e3a\u52a8\u8109-\u9759\u8109VA-ECMO\u548c\u9759\u8109-\u9759\u8109VV-ECMO\u3002\u5728\u8fd9\u4e24\u79cd\u65b9\u5f0f\u4e2d\uff0c\u4ece\u9759\u8109\u7cfb\u7edf\u6392\u51fa\u7684\u8840\u6db2\u90fd\u4f1a\u5728\u4f53\u5916\u88ab\u6c27\u5316\u3002\u5728VA-ECMO\u4e2d\uff0c\u8be5\u8840\u6db2\u88ab\u8fd4\u56de\u5230\u52a8\u8109\u7cfb\u7edf\uff0c\u5728VV-ECMO\u4e2d\uff0c\u8be5\u8840\u6db2\u88ab\u8fd4\u56de\u5230\u9759\u8109\u7cfb\u7edf\u3002\u5728VV-ECMO\u4e2d\uff0c\u6ca1\u6709\u63d0\u4f9b\u5fc3\u810f\u652f\u6301\u3002<\/p>\n<p>2018\u5e74\u4e16\u754c\u8303\u56f4\u5185\u5171\u8ba110423\u4f8bECMO\u75c5\u4f8b\u8fdb\u884c\u4e0a\u62a5\u6ce8\u518c\uff0c\u662f\u4e00\u4e2a\u76f8\u5bf9\u201c\u5c0f\u4f17\u201d\u7684\u6cbb\u7597\u6280\u672f\u3002\u6211\u56fdECMO\u6cbb\u7597\u4f34\u968f\u7740ICU\u7684\u666e\u53ca\u5feb\u901f\u53d1\u5c55\uff0c\u52302018\u5e74\u5168\u56fd260\u5bb6\u533b\u9662\u5171\u8ba1\u4e0a\u62a5\u4f8b\u65703923\u4f8b\uff0c\u5f00\u5c55\u4e2d\u5fc3\u6570\u4e0e\u5e74\u4f8b\u6570\u8f83\u5f80\u5e74\u5747\u6709\u663e\u8457\u4e0a\u5347\u3002\u800c\u5728\u6211\u56fd\uff0c\u7ea6\u67093.3\u4ebf\u5fc3\u8840\u7ba1\u75be\u75c5\u60a3\u8005\uff0c\u5176\u4e2d\u6162\u6027\u963b\u585e\u6027\u80ba\u75c5\uff08COPD\uff09\u60a3\u8005\u7fa4\u4f53\u57fa\u6570\u5927\u3002\u8003\u8651\u5230\u672a\u6765\u6f5c\u5728\u589e\u957f\u7684\u547c\u5438\u8870\u7aed\u60a3\u8005\u6570\u91cf\uff0c\u6211\u56fdECMO 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ECMO\u7684\u5168\u79f0\u662f\uff1aExtra Corporeal Membrane Oxygenation\uff0c\u5b66\u540d\u201c\u4f53\u5916\u819c\u80ba\u6c27\u5408\u88c5\u7f6e\u201d\uff0c\u97f3\u8bd1\u201c\u53f6\u514b\u819c\u201d\u3002ECMO\u4e5f\u88ab\u79f0\u4e3a\u4f53\u5916\u751f\u547d\u652f\u6301\u7cfb\u7edfECLS\uff08Extra Corporeal Life Support\uff09\u3002\u56e0\u5176\u8f85\u52a9\u547c\u5438\u4e0e\u8840\u6db2\u5faa\u73af\uff0c\u88ab\u79f0\u4e3a\u751f\u547d\u652f\u6301\u6280\u672f\uff0c\u662f\u5fc3\u80ba\u8870\u7aed\u60a3\u8005\u751f\u547d\u7684\u201c\u6700\u540e\u4e00\u9053\u9632\u7ebf\u201d\u3002 ECMO\u7684\u57fa\u672c\u7ed3\u6784\u6709\u52a8\u529b\u6cf5\uff08\u4eba\u5de5\u5fc3\u810f\uff09\u3001\u6c27\u5408\u5668\uff08\u4eba\u5de5\u80ba\uff09\u3001\u4f9b\u6c27\u7ba1\u3001\u76d1\u6d4b\u7cfb\u7edf\u3001\u8840\u7ba1\u5185\u63d2\u7ba1\u3001\u8fde\u63a5\u7ba1\u3002\u4e34\u5e8a\u4e0a\u5e38\u5c06\u53ef\u629b\u5f03\u90e8\u5206\u7ec4\u6210\u5957\u5305\uff0c\u4e0d\u53ef\u629b\u5f03\u90e8\u5206\u7ed1\u5b9a\u5b58\u653e\uff0c\u5e76\u8bbe\u8ba1\u4e3a\u53ef\u79fb\u52a8\uff0c\u63d0\u9ad8\u5e94\u6025\u80fd\u529b\u3002&nbsp;\u5176\u4e2d\uff0c\u6700\u5173\u952e\u7684\u90e8\u4ef6\u5c31\u662f\u8840\u6db2\u6cf5\uff08\u79bb\u5fc3\u6cf5\uff09\u548c\u6c27\u5408\u5668\uff0c\u5206\u522b\u8d77\u5230\u4eba\u5de5\u5fc3\u810f\u548c\u4eba\u5de5\u80ba\u7684\u4f5c\u7528\uff0c\u53ef\u4ee5\u5bf9\u91cd\u75c7\u5fc3\u80ba\u529f\u80fd\u8870\u7aed\u60a3\u8005\u8fdb\u884c\u8f83\u957f\u65f6\u95f4\u7684\u5fc3\u80ba\u652f\u6301\uff0c\u4e3a\u62a2\u6551\u8d62\u5f97\u5b9d\u8d35\u7684\u65f6\u95f4\u3002 ECMO\u7684\u539f\u7406\u662f\u5c06\u4f53\u5185\u7684\u9759\u8109\u8840\u5f15\u51fa\u4f53\u5916\uff0c\u7ecf\u8fc7\u7279\u6b8a\u6750\u8d28\u4eba\u5de5\u5fc3\u80ba\u65c1\u8def\u6c27\u5408\u540e\u6ce8\u5165\u75c5\u4eba\u52a8\u8109\u6216\u9759\u8109\u7cfb\u7edf\uff0c\u8d77\u5230\u90e8\u5206\u5fc3\u80ba\u66ff\u4ee3\u4f5c\u7528\uff0c\u7ef4\u6301\u4eba\u4f53\u810f\u5668\u7ec4\u7ec7\u6c27\u5408\u8840\u4f9b\u3002 ECMO\u4e3b\u8981\u5206\u4e3a\u52a8\u8109-\u9759\u8109VA-ECMO\u548c\u9759\u8109-\u9759\u8109VV-ECMO\u3002\u5728\u8fd9\u4e24\u79cd\u65b9\u5f0f\u4e2d\uff0c\u4ece\u9759\u8109\u7cfb\u7edf\u6392\u51fa\u7684\u8840\u6db2\u90fd\u4f1a\u5728\u4f53\u5916\u88ab\u6c27\u5316\u3002\u5728VA-ECMO\u4e2d\uff0c\u8be5\u8840\u6db2\u88ab\u8fd4\u56de\u5230\u52a8\u8109\u7cfb\u7edf\uff0c\u5728VV-ECMO\u4e2d\uff0c\u8be5\u8840\u6db2\u88ab\u8fd4\u56de\u5230\u9759\u8109\u7cfb\u7edf\u3002\u5728VV-ECMO\u4e2d\uff0c\u6ca1\u6709\u63d0\u4f9b\u5fc3\u810f\u652f\u6301\u3002 2018\u5e74\u4e16\u754c\u8303\u56f4\u5185\u5171\u8ba110423\u4f8bECMO\u75c5\u4f8b\u8fdb\u884c\u4e0a\u62a5\u6ce8\u518c\uff0c\u662f\u4e00\u4e2a\u76f8\u5bf9\u201c\u5c0f\u4f17\u201d\u7684\u6cbb\u7597\u6280\u672f\u3002\u6211\u56fdECMO\u6cbb\u7597\u4f34\u968f\u7740ICU\u7684\u666e\u53ca\u5feb\u901f\u53d1\u5c55\uff0c\u52302018\u5e74\u5168\u56fd260\u5bb6\u533b\u9662\u5171\u8ba1\u4e0a\u62a5\u4f8b\u65703923\u4f8b\uff0c\u5f00\u5c55\u4e2d\u5fc3\u6570\u4e0e\u5e74\u4f8b\u6570\u8f83\u5f80\u5e74\u5747\u6709\u663e\u8457\u4e0a\u5347\u3002\u800c\u5728\u6211\u56fd\uff0c\u7ea6\u67093.3\u4ebf\u5fc3\u8840\u7ba1\u75be\u75c5\u60a3\u8005\uff0c\u5176\u4e2d\u6162\u6027\u963b\u585e\u6027\u80ba\u75c5\uff08COPD\uff09\u60a3\u8005\u7fa4\u4f53\u57fa\u6570\u5927\u3002\u8003\u8651\u5230\u672a\u6765\u6f5c\u5728\u589e\u957f\u7684\u547c\u5438\u8870\u7aed\u60a3\u8005\u6570\u91cf\uff0c\u6211\u56fdECMO \u5728\u76ee\u524d\u7684\u50a8\u5907\u91cf\u8fdc\u8fdc\u4e0d\u8db3\uff0c\u7279\u522b\u662f\u5728\u4e00\u4e9b\u57fa\u5c42\u5730\u533a\u3002\u800c\u57282020\u5e74\u75ab\u60c5\u7206\u53d1\u65f6\uff0c\u6211\u56fd\u4ec5\u6709400\u591a\u53f0ECMO\u8bbe\u5907\uff0c\u5168\u7701\u5404\u5730\u9a70\u63f4\u6b66\u6c49\u7684\u533b\u7597\u961f\u90fd\u81ea\u5e26ECMO\u8bbe\u5907\uff0c\u4e5f\u56e0\u6b64\u201cECMO\u7cfb\u7edf\u7814\u53d1\u201d\u9879\u76ee\u81ea\u65b0\u51a0\u75ab\u60c5\u4ee5\u6765\u5907\u53d7\u5173\u6ce8\u3002 \u5b89\u8d1e\u533b\u9662\u4e0e\u5fc3\u64ce\u533b\u7597\u5145\u5206\u8ba4\u8bc6\u5230\u56fd\u4ea7ECMO\u7814\u53d1\u7684\u7d27\u8feb\u6027\u548c\u91cd\u8981\u6027\uff0c\u4e89\u53d6\u5c3d\u5feb\u4e3a\u56fd\u5185\u60a3\u8005\u63d0\u4f9b\u66f4\u591a\u53ef\u7528\u3001\u53ef\u9760\u7684\u533b\u7597\u8d44\u6e90\u4e0e\u6709\u6548\u7684\u6551\u6cbb\u624b\u6bb5\u3002&nbsp; \u8be5\u5408\u4f5c\u9879\u76ee\u52a8\u7269\u5b9e\u9a8c\u8bc1\u660e\u7cfb\u7edf\u5e73\u7a33\u8fd0\u884c\uff0c\u6027\u80fd\u8fbe\u5230\u56fd\u9645\u4ea7\u54c1\u540c\u7b49\u6c34\u5e73 \u5317\u4eac\u5b89\u8d1e\u533b\u9662\u4f5c\u4e3a\u56fd\u5185\u9996\u6279\u5f00\u5c55ECMO\u6280\u672f\u7684\u5355\u4f4d\uff0c\u5386\u7ecf20\u4f59\u5e74\u7684\u53d1\u5c55\uff0c\u6210\u4e3a\u5317\u4eac\u5e02\u4f53\u5916\u751f\u547d\u652f\u6301\u8d28\u91cf\u63a7\u5236\u548c\u6539\u8fdb\u4e2d\u5fc3\u3002\u7387\u5148\u4e8e2004\u5e74\u5c06ECMO\u5e94\u7528\u4e8e\u5fc3\u810f\u5916\u79d1\u672f\u540e\u4f4e\u5fc3\u6392\u60a3\u8005\uff0c\u5e76\u5c06\u4f53\u5916\u751f\u547d\u652f\u6301\u9002\u5e94\u75c7\u6269\u5927\u81f3\u6025\u6027\u5fc3\u6897\u5e76\u53d1\u96be\u6cbb\u6027\u5fc3\u6e90\u6027\u4f11\u514b\u3001\u5fc3\u810f\u9aa4\u505c\u3001\u66b4\u53d1\u6027\u5fc3\u808c\u708e\u3001\u6025\u6027\u591a\u53d1\u521b\u4f24\u3001\u5371\u91cd\u5b55\u4ea7\u5987\u3001\u5404\u79cd\u75c5\u6bd2\u611f\u67d3\u6240\u81f4\u6025\u6027\u547c\u5438\u8870\u7aed\uff08ARDS\uff09\u7b49\u591a\u5b66\u79d1\u5371\u91cd\u60a3\u8005\u3002\u5b89\u8d1e\u533b\u9662ECMO\u56e2\u961f\u66fe\u5148\u540e\u65a9\u83b7\u5317\u4eac\u533b\u5b66\u4f1a\u79d1\u6280\u4e00\u7b49\u5956\u3001\u5317\u4eac\u5e02\u79d1\u5b66\u6280\u672f\u8fdb\u6b65\u5956\u4e8c\u7b49\u5956\u3001\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u9881\u53d1\u7684\u201cECMO\u6700\u5177\u5f71\u54cd\u529b\u201d\u5956\u7b49\u591a\u4e2a\u91cd\u5927\u5956\u9879\uff0c\u66f4\u4e8e2018\u5e74\u6210\u4e3a\u4e2d\u56fd\u5185\u5730\u552f\u4e00\u4e00\u5bb6\u83b7\u5f97\u7531\u56fd\u9645\u4f53\u5916\u751f\u547d\u652f\u6301\u7ec4\u7ec7\u6388\u4e88\u7684\u201cECMO\u5353\u8d8a\u4e2d\u5fc3\u201d\u91d1\u5956\u5355\u4f4d\u3002 \u8fd1\u5e74\u6765\uff0cECMO\u56e2\u961f\u5728\u4faf\u6653\u5f64\u526f\u9662\u957f\u5e26\u9886\u4e0b\uff0c\u4e0d\u65ad\u6311\u6218\u751f\u547d\u652f\u6301\u9886\u57df\u7684\u6280\u672f\u58c1\u5792\uff0c\u66fe\u591a\u6b21\u5229\u7528ECMO\u521b\u9020\u751f\u547d\u5947\u8ff9\u30022020\u5e74\u65b0\u51a0\u80ba\u708e\u75ab\u60c5\u7206\u53d1\u540e\uff0c\u5317\u4eac\u5b89\u8d1e\u533b\u9662\u7b2c\u4e00\u65f6\u95f4\u6d3e\u51faECMO\u56e2\u961f\u9a70\u63f4\u5317\u4eac\u4f51\u5b89\u533b\u9662\uff0c\u79ef\u6781\u6295\u8eab\u65b0\u51a0\u80ba\u708e\u91cd\u75c7\u60a3\u8005\u7684\u6551\u6cbb\u3002ECMO\u56e2\u961f\u591a\u5e74\u6765\u5728\u4e34\u5e8a\u653b\u5173\u7684\u540c\u65f6\uff0c\u8fd8\u6301\u7eed\u81f4\u529b\u4e8e\u5668\u68b0\u7814\u53d1\u3001\u6280\u672f\u521b\u65b0\u548c\u79d1\u5b66\u7814\u7a76\uff0c\u5148\u540e\u7a81\u7834\u4e86\u4e0b\u80a2\u7f3a\u8840\u3001\u4e0a\u534a\u8eab\u7f3a\u6c27\u7b49\u591a\u9879\u9650\u5236ECMO\u6280\u672f\u53d1\u5c55\u7684\u96be\u9898\u3002 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