| 体外膜肺氧合在失血性心脏骤停中的应用 |
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| 引用本文： | 廖小卒,李斌飞,张志刚,程周,夏晓文,周引凤.体外膜肺氧合在失血性心脏骤停中的应用[J].海南医学,2011,22(22):36-38. |
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| 作者姓名： | 廖小卒 李斌飞 张志刚 程周 夏晓文 周引凤 |
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| 作者单位： | 中山市人民医院麻醉科,广东中山,528403 |
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| 摘 要： | 目的探讨体外膜肺氧合（ECMO）在失血性心脏骤停中应用的价值。方法回顾性分析我院20例因失血性休克致心脏骤停行ECMO治疗的患者。监测ECMO治疗前、ECMO治疗后10min,原发病解决后ECMO治疗1h、6h、12h、24h的心率、平均动脉压、中心静脉压（CVP）;并抽取桡动脉血检测动脉血氧分压、动脉血乳酸含量。并且统计辅助时间。结果平均动脉压在ECMO治疗后10min比ECMO治疗前明显升高（P〈0.05）,原发病解决后ECMO治疗1h比ECMO治疗后10min有明显升高（P〈0.05）;CVP在ECMO治疗后10min比ECMO治疗前显著降低（P〈0.05）,ECMO治疗后1h比ECMO治疗后10min显著升高（P〈0.05）;经ECMO治疗后10min动脉血氧分压较ECMO治疗前明显上升（P〈0.05）,动脉血乳酸含量明显降低（P〈0.05）,平均辅助时间（23.5±7.1）h。结论失血性心脏骤停行ECMO治疗的辅助时间短,心功能恢复快,成功率高,ECMO在失血性心脏骤停中应用是可行的。
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| 关 键 词： | 体外膜肺氧合 失血性休克 心脏骤停 |
Application of extracorporeal membrane oxygenation in patients with hemorrhagic cardiac arrest |
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| LIAO Xiao-zu,LI Bin-fei,ZHANG Zhi-gang,CHENG Zhou,XIA Xiao-wen,ZHOU Yin-feng.Application of extracorporeal membrane oxygenation in patients with hemorrhagic cardiac arrest[J].Hainan Medical Journal,2011,22(22):36-38. |
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| Authors: | LIAO Xiao-zu LI Bin-fei ZHANG Zhi-gang CHENG Zhou XIA Xiao-wen ZHOU Yin-feng |
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| Affiliation: | LIAO Xiao-zu,LI Bin-fei,ZHANG Zhi-gang,CHENG Zhou,XIA Xiao-wen,ZHOU Yin-feng. Departments of Anesthesiology,People's Hospital of Zhongshan,Zhongshan 528403,Guangzhou,CHINA |
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| Abstract: | Objective To investigate the value of the application of extracorporeal membrane oxygenation in patients with hemorrhagic cardiac arrest. Methods 20 cases with hemorrhagic shock cardiac arrest patients who has been treated with ECMO were nalyzed retrospectively. The heart rate, mean arterial pressure, and central venous pressure (CVP) were monitored at various time points.The point of before ECMO treatment, the ECMO treatment after10 min , ECMO treatment after solving original disease for 1 h, 6 h, 12 h, 24... |
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| Keywords: | ECMO Hemorrhagic shock Cardiac arrest |
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