{"id":2188,"date":"2010-08-19T10:37:59","date_gmt":"2010-08-19T02:37:59","guid":{"rendered":"https:\/\/edu.secda.info\/pcrohs\/?p=2188"},"modified":"2023-04-17T16:25:08","modified_gmt":"2023-04-17T08:25:08","slug":"ecmo-%e8%91%89%e5%85%8b%e8%86%9c","status":"publish","type":"post","link":"https:\/\/edu.secda.info\/pcrohs\/?p=2188","title":{"rendered":"ECMO \u8449\u514b\u819c"},"content":{"rendered":"<p><a href=\"https:\/\/edu.secda.info\/pcrohs\/wp-content\/uploads\/2023\/04\/ECMO-\u8449\u514b\u819c.jpg\"><img decoding=\"async\" class=\"alignnone size-full wp-image-2189\" src=\"https:\/\/edu.secda.info\/pcrohs\/wp-content\/uploads\/2023\/04\/ECMO-\u8449\u514b\u819c.jpg\" alt=\"\" width=\"130\" height=\"97\" \/><\/a><\/p>\n<p style=\"font-weight: 400;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u9ad4\u5916\u819c\u6c27\u5408(extracorporeal membrane oxygenation, ECMO),\u00a0\u53c8\u7a31\u9ad4\u5916\u7dad\u751f\u7cfb\u7d71\uff0c\u5f15\u6d41\u75c5\u4eba\u4e4b\u975c\u8108\u8840\u81f3\u9ad4\u5916\uff0c\u7d93\u6c23\u9ad4\u4ea4\u63db\u5f8c\u518d\u9001\u56de\u75c5\u4eba\u7684\u52d5\u8108\u6216\u975c\u8108\u3002\u5176\u539f\u7406\u63a5\u8fd1&#8221;\u9ad4\u5916\u5fc3\u80ba\u5faa\u74b0(cardiopulmonary bypass, CPB)&#8221;\uff0c\u4f46\u4ecd\u6709\u5f88\u5927\u7684\u4e0d\u540c\uff1a<br \/>\n1.CPB\u505a\u70ba\u958b\u5fc3\u624b\u8853\u6642\u77ed\u66ab\u7684\u9ad4\u5916\u5faa\u74b0\uff0c\u4ee3\u66ff\u90e8\u5206\u6216\u5168\u90e8\u7684\u5fc3\u80ba\u529f\u80fd\u3002ECMO\u662f\u9577\u6642\u9593\u9ad4\u5916\u5faa\u74b0\u00a0\u652f\u6301\u90e8\u5206\u7684\u5fc3\u80ba\u529f\u80fd\u3002<br \/>\n2.CPB\u662f\u958b\u653e\u7cfb\u7d71\uff0cECMO\u662f\u5bc6\u9589\u7cfb\u7d71\u3002<br \/>\n3.\u6c27\u5408\u5668\u4e0d\u540c\uff1aECMO\u4f7f\u7528\u77fd\u819c\u6216\u5fae\u5b54\u819c\u6c27\u5408\u5668\uff0cCPB\u4f7f\u7528\u819c\u5f0f\u6216\u6c23\u6ce1\u578b\u6c27\u5408\u5668\u3002<br \/>\n4.\u975c\u8108\u8840\u5132\u8840\u69fd\u00a0(venous reservoir)\uff1aCPB\u5177\u5132\u8840\u69fd\uff0c\u9808\u4f7f\u7528\u5927\u91cf\u7684\u809d\u7d20\u7dad\u6301\u8f03\u9ad8\u7684ACT (activated clotting time)\u3002ECMO\u5177\u809d\u7d20\u9375\u7d50\u8868\u9762\uff0c\u53ef\u6e1b\u5c11\u809d\u7d20\u4f7f\u7528\u3002CPB\u548cECMO\u6700\u5927\u7684\u4e0d\u540c\u5c31\u5728\u65bc\u975c\u8108\u8840\u5132\u8840\u69fd\u7684\u6709\u7121\uff0c\u4e5f\u5f71\u97ff\u4e86\u904b\u4f5c\u6642\u6240\u9700\u7684\u6297\u51dd\u8840\u7a0b\u5ea6\u3002<\/p>\n<p style=\"font-weight: 400;\">\u00a0\u3000ECMO\u6709\u975c\u8108-\u975c\u8108\u00a0(veno-venous)\u548c\u975c\u8108-\u52d5\u8108\u00a0(veno-arterial) ECMO\u5169\u7a2e\u3002\u00a0VV-ECMO\u53ea\u53d6\u4ee3\u80ba\u81df\u6c23\u9ad4\u4ea4\u63db\u7684\u529f\u80fd\uff0c\u5c0d\u5fc3\u81df\u7684\u5faa\u74b0\u6c92\u6709\u52a9\u76ca\uff0c\u56e0\u6b64\u53ea\u7528\u5728\u80ba\u90e8\u75be\u75c5\u3002VA-ECMO\u5c07\u975c\u8108\u8840\u7d93\u6c23\u9ad4\u4ea4\u63db\u5f8c\u56de\u5230\u75c5\u4eba\u52d5\u8108\uff0c\u56e0\u6b64\u53ef\u540c\u6642\u652f\u6301\u5fc3\u80ba\u529f\u80fd\uff0c\u53ef\u7528\u65bc\u5fc3\u8870\u7aed\u6216\u80ba\u8870\u7aed\u7684\u75c5\u4eba\u3002<br 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