体外膜氧合治疗重症急性呼吸衰竭的临床疗效分析
孙兵;王春婷;吴珺;李绪言;贺航咏;张春艳;童朝晖;詹庆元;王辰
【期刊名称】《中华结核和呼吸杂志》 【年(卷),期】2012(035)011
【摘要】Objective To summarize the experience of extracorporeal membrane oxygenation (ECMO) for patients with severe acute respiratory failure in adults and to investigate the factors associated with death.Methods The clinical data of patients with severe acute respiratory failure supported with ECMO in respiratory intensive care unit of Beijing Chaoyang Hospital from November 2009 to December 2011 were prospectively collected and analyzed.The data included general
condition
before
EMCO,blood
gas
analysis,hemodynamics,ventilator settings of mechanical ventilation and complications during ECMO.The primary outcome was death or severe disability within 3 months.Statistical software of SPSS (version 16.0)was used for data analysis.Results Twenty-five patients with severe respiratory failure received ECMO treatment,of which 16 patients were analyzed.The mean age was (45 ± 14) years old (range,22-64 years old).Thirteen patients were male.Before ECMO,all of the patients were treated with invasive positive pressure ventilation for (72 ± 64) hours.Eight patients had been treated with noninvasive ventilation for a median of 55 (10-114) hours.Patients had severe respiratory failure
体外膜氧合治疗重症急性呼吸衰竭的临床疗效分析
