摘要
严重胸部创伤无论在平时还是战时都是导致人类创伤死亡的最主要原因之一。随着社会经济的快速发展,以高速度和高能量引起的严重胸部创伤病情变得更严重和更复杂,当临床上运用常规呼吸机控制呼吸和辅助治疗无效,甚至心肺功能较长时间无法恢复,及时运用体外膜氧合(ECMO)生命支持技术能较好的解决这个问题。笔者结合国内外目前运用ECMO原理针对严重胸部创伤后心肺衰竭病例的救治方法和并发症进行综述,认识ECMO在严重胸部创伤救治中的重要性,对ECMO救治策略和救治措施进行了分析。为更加科学规范的ECMO救治提供一定理论和实践参考,也为将来医疗小分队配备更加便携的ECMO前移到一线救治提供思路。
Serious chest trauma is one of the main causes of human traumatic death both in peacetime and wartime.With rapid development of social economy,severe chest traumas caused by high-speed and high-energy injuries have become more serious and complex.When mechanical ventilation and adjuvant therapy are ineffective,and the patients'cardiopulmonary function cannot be restored for a long time,timely use of extracorporeal membrane oxygenation(ECMO)life support technology can be a better solution.By reviewing the treatment methods and complications of cardiopulmonary failure cases based on the application of ECMO at home and abroad,the author recognized the importance of ECMO in the treatment of severe chest trauma,and analyzed the treatment strategy and measures of ECMO.This provides a theoretical and practical reference for more scientific and standardized ECMO treatment,and also provides ideas for future medical teams equipped with more portable ECMO to move forward to the first-line treatment.
作者
宋志明
窦燕
陈松林
易云峰
Song Zhiming;Dou Yan;Chen Songlin;Yi Yunfeng(Department of Cardiothoracic Surgery,the 909th Hospital of PLA,Dongnan Hospital Affiliated to Xiamen University,Zhangzhou 363000,China)
出处
《中国体外循环杂志》
2020年第3期188-192,共5页
Chinese Journal of Extracorporeal Circulation
基金
全军后勤科研项目(CWH17J030、CNJ14C007)。
关键词
胸部创伤
救治
体外膜氧合
体外生命支持
呼吸衰竭
Chest trauma
Treatment
Extracorporeal membrane oxygenation
Extracorporeal life support
Respiratory failure
