上海交通大学学报(医学版)

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体外生命支持系统在急危重症患者救治中的应用进展

许天祥1,2,王晓霞1,3,嵇武1   

  1. 1.南方医科大学 南京临床学院(南京军区南京总医院),解放军普外科研究所, 南京 210002; 2.内蒙古自治区人民医院肿瘤中心, 呼和浩特 010017; 3.内蒙古自治区人民医院重症医学科, 呼和浩特 010017
  • 出版日期:2016-05-28 发布日期:2016-05-26
  • 通讯作者: 嵇武, 电子信箱: jiwuvip@hotmail.com。
  • 作者简介:许天祥(1983—), 男, 主治医师, 博士生; 电子信箱: 122784509@qq.com。
  • 基金资助:

    军队“十二五”重大项目(AWS11J003); 南京军区装备部重大课题(12Z007)

Progress of extracorporeal life support system in  treatment of critical patients

XU Tian-xiang1,2, WANG Xiao-xia1,3, JI Wu1   

  1. 1.Nanjing General Hospital of Nanjing Military Command, PLA Research Institute of General Surgery, Southern Medical University, Nanjing 210002, China; 2.Center of Tumor, Inner Mongolia Peoples Hospital, Hohhot 010017, China; 3.Intensive Care Unit, Inner Mongolia People's Hospital, Hohhot 010017, China
  • Online:2016-05-28 Published:2016-05-26
  • Supported by:

    Project in “the 12th Five-Year” Plan of PLA, AWS11J003; Project of Nanjing Military Armament Department, 12Z007

摘要:

随着体外心肺支持系统、体外肾替代支持治疗、人工肝替代支持治疗等技术的不断发展,体外生命支持在围手术期及急危重症患者救治中的作用越来越受到重视。机器的小型化和科技的创新使得生命支持系统从手术室转移至床旁,再发展成为便携式、移动式生命支持系统。在生命支持系统的帮助下,院前急危重症患者转运或转诊成为可能。该文就体外生命支持系统在急危重症患者替代救治中的应用及其展望进行综述。

关键词: 体外生命支持系统, 体外膜肺氧合, 连续性肾替代治疗, 人工肝支持系统

Abstract:

With the development of cardiopulmonary support system, continuous renal replacement therapy, and artificial liver support system, the roles of extracorporeal life support in treating patients in the perioperative period or critical patients are attracting more and more attention. The miniaturization of machines and technology innovations make life support systems run from operating rooms to the bedside and become portable and mobile. With the help of life support systems, it is possible for pre-hospital critical patients to be transported or transferred. This paper reviews applications and prospects of extracorporeal life support systems for the treatment of critical patients.

Key words: extracorporeal life support, extracorporeal membrane oxygenation, continuous renal replacement therapies, artificial liver support system