近年静脉-静脉体外膜肺氧合(V-V ECMO)的应用迅速增加,随着新的技术、设备、治疗方法和研究证据的更新,应用过程中的管理也越来越成熟和规范.静脉-静脉体外膜肺的管理主要包括氧供与氧耗管理、机械通气策略、俯卧位治疗、清醒ECMO、早期康复和标准化撤机.
In recent years,the application of venovenous extracorporeal membrane oxygenation(V-V ECMO)has rapidly increased.With the evolution of new technologies,equipment and treatment,and the update of research evidence,the management in its application has become increasingly mature and standardized.The management of V-V ECMO primarily encompasses oxygen supply and consumption management,mechanical ventilation strategies,prone position treatment,awake ECMO,early rehabilitation,and standardized weaning procedures.
刘凯;居旻杰
复旦大学附属中山医院重症医学科,上海 200032
临床医学
体外膜肺氧合;机械通气;俯卧位;康复;撤机
extracorporeal membrane oxygenation;mechanical ventilation;prone position;rehabilitation;weaning
《中国实用内科杂志》 2024 (003)
182-187,192 / 7
上海市科学技术委员会基金(20Y11900900)
10.19538/j.nk2024030102
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