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新生儿呼吸衰竭体外膜肺氧合支持专家共识

2018-05-20 中国医师协会新生儿科医师分会 中华儿科杂志,2018,56(5) :327-331.

体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)基本原理就是通过动静脉插管,将血液从体内引流到体外,经人工膜肺氧合后,再经泵将氧合血灌注入体内,维持机体各器官的供血和供氧,对严重的心肺功能衰竭患者进行较长时间呼吸心脏支持,使患者心肺得以充分的休息,为进一步治疗和心肺功能的恢复赢得宝贵的时间。国际体外生命支持组织(extracorporeal life

中文标题:

新生儿呼吸衰竭体外膜肺氧合支持专家共识

发布日期:

2018-05-20

简要介绍:

体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)基本原理就是通过动静脉插管,将血液从体内引流到体外,经人工膜肺氧合后,再经泵将氧合血灌注入体内,维持机体各器官的供血和供氧,对严重的心肺功能衰竭患者进行较长时间呼吸心脏支持,使患者心肺得以充分的休息,为进一步治疗和心肺功能的恢复赢得宝贵的时间。国际体外生命支持组织(extracorporeal life support organization, ELSO)2016年数据显示,相对成人和儿童,新生儿呼吸疾病ECMO支持预后最佳,平均存活率达74%。对常规呼吸支持技术无效的新生儿,ECMO技术是一种有效的救治手段。本专家共识仅供呼吸衰竭新生儿ECMO支持参考使用。 

拓展指南:呼吸衰竭相关指南:

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[AttachmentFileName(sort=100, fileName=新生儿呼吸衰竭体外膜肺氧合支持专家共识)] GetToolGuiderByIdResponse(projectId=1, id=6094b1c001595a06, title=新生儿呼吸衰竭体外膜肺氧合支持专家共识, enTitle=, guiderFrom=中华儿科杂志,2018,56(5) :327-331., authorId=null, author=, summary=体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)基本原理就是通过动静脉插管,将血液从体内引流到体外,经人工膜肺氧合后,再经泵将氧合血灌注入体内,维持机体各器官的供血和供氧,对严重的心肺功能衰竭患者进行较长时间呼吸心脏支持,使患者心肺得以充分的休息,为进一步治疗和心肺功能的恢复赢得宝贵的时间。国际体外生命支持组织(extracorporeal life, cover=, journalId=null, articlesId=null, associationId=928, associationName=中国医师协会新生儿科医师分会, associationIntro=null, copyright=0, guiderPublishedTime=Sun May 20 00:00:00 CST 2018, originalUrl=, linkOutUrl=, content=<div>体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)基本原理就是通过动静脉插管,将血液从体内引流到体外,经人工膜肺氧合后,再经泵将氧合血灌注入体内,维持机体各器官的供血和供氧,对严重的心肺功能衰竭患者进行较长时间呼吸心脏支持,使患者心肺得以充分的休息,为进一步治疗和心肺功能的恢复赢得宝贵的时间。国际体外生命支持组织(extracorporeal life support organization, ELSO)2016年数据显示,相对成人和儿童,新生儿呼吸疾病ECMO支持预后最佳,平均存活率达74%。对常规呼吸支持技术无效的新生儿,ECMO技术是一种有效的救治手段。本专家共识仅供呼吸衰竭新生儿ECMO支持参考使用。 </div> <div><br> </div>拓展指南:<strong>与<font color=red>呼吸衰竭</font>相关指南:</strong><br><ul><li><a href="//m.capotfarm.com/guideline/show_article.do?id=436531c00121e9f7" title="2016 BTS/ICS指南:成人急性呼吸衰竭的通气管理" target=_blank>2016 BTS/ICS指南:成人急性呼吸衰竭的通气管理</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=ab4401c0011062d0" title="2014 ECMONet意见书:成人急性呼吸衰竭的体外膜氧合程序" target=_blank>2014 ECMONet意见书:成人急性呼吸衰竭的体外膜氧合程序</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=a982c1c00110513f" title="2014 体外膜氧合治疗成人重症呼吸衰竭临床操作推荐意见" target=_blank>2014 体外膜氧合治疗成人重症呼吸衰竭临床操作推荐意见</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=8d2581c00103035d" title="2013 ELSO儿童呼吸衰竭指南(v1.3)" target=_blank>2013 ELSO儿童呼吸衰竭指南(v1.3)</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=fe0181c00102982e" title="2013 ELSO新生儿呼吸衰竭指南(v1.3)" target=_blank>2013 ELSO新生儿呼吸衰竭指南(v1.3)</a></li> 更多信息请点击:<a href="//m.capotfarm.com/guideline/list.do?q=%E5%91%BC%E5%90%B8%E8%A1%B0%E7%AB%AD" target=_blank>有关呼吸衰竭更多指南</a></ul>, tagList=[TagDto(tagId=75403, tagName=新生儿呼吸衰竭体), TagDto(tagId=75404, tagName=外膜肺氧合支持)], categoryList=[CategoryDto(categoryId=18, categoryName=儿科, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=5341, appHits=145, showAppHits=0, pcHits=3709, showPcHits=1999, likes=113, shares=19, comments=4, approvalStatus=1, publishedTime=Thu May 24 22:05:42 CST 2018, publishedTimeString=2018-05-20, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Thu May 24 22:05:42 CST 2018, updatedBy=null, updatedName=null, updatedTime=Tue Jan 02 23:01:02 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=新生儿呼吸衰竭体外膜肺氧合支持专家共识)])
新生儿呼吸衰竭体外膜肺氧合支持专家共识
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    2021-03-27 ms7000000648251691

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=951606, encodeId=0a3195160695, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201207/40ca7509c5ae4f6ba83a5e643c3dd89e/750395ce052c4ea3b16a893fffd5e85f.jpg, createdBy=22a85440800, createdName=ms7000000648251691, createdTime=Sat Mar 27 14:06:01 CST 2021, time=2021-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=320499, encodeId=91ec320499ec, content=学习学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Fri Jun 01 07:37:37 CST 2018, time=2018-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318255, encodeId=8cd03182550a, content=^_^^_^^_^, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Thu May 24 22:52:14 CST 2018, time=2018-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318235, encodeId=64f1318235f1, content=学习了.谢谢分享., beContent=null, objectType=guider, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Thu May 24 22:35:51 CST 2018, time=2018-05-24, status=1, ipAttribution=)]
    2018-06-01 易水河

    学习学习了!

    0

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    2018-05-24 wqkm

    ^_^^_^^_^

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=951606, encodeId=0a3195160695, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201207/40ca7509c5ae4f6ba83a5e643c3dd89e/750395ce052c4ea3b16a893fffd5e85f.jpg, createdBy=22a85440800, createdName=ms7000000648251691, createdTime=Sat Mar 27 14:06:01 CST 2021, time=2021-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=320499, encodeId=91ec320499ec, content=学习学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Fri Jun 01 07:37:37 CST 2018, time=2018-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318255, encodeId=8cd03182550a, content=^_^^_^^_^, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Thu May 24 22:52:14 CST 2018, time=2018-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318235, encodeId=64f1318235f1, content=学习了.谢谢分享., beContent=null, objectType=guider, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Thu May 24 22:35:51 CST 2018, time=2018-05-24, status=1, ipAttribution=)]
    2018-05-24 惠映实验室

    学习了.谢谢分享.

    0

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