[1]于文波 廖晨曦 张健 翟波.体外膜肺氧合在婴幼儿先天性心脏病术后应用的研究进展[J].心血管病学进展,2021,(7):632-636.[doi:10.16806/j.cnki.issn.1004-3934.2021.07.014]
　YU Wenbo,LIAO Chenxi,ZHANG Jian,et al.Extracorporeal Membrane Oxygenation in Infants with Congenital Heart Disease after Operation[J].Advances in Cardiovascular Diseases,2021,(7):632-636.[doi:10.16806/j.cnki.issn.1004-3934.2021.07.014]
点击复制

体外膜肺氧合在婴幼儿先天性心脏病术后应用的研究进展()
分享到：

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年7期
页码:
632-636
栏目:
出版日期:
2021-07-25

文章信息/Info

Title:
Extracorporeal Membrane Oxygenation in Infants with Congenital Heart Disease after Operation
作者:
于文波1 廖晨曦 2 张健 3 翟波 1
(1.郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院胸心外科, 河南 郑州 450000; 2.兰州大学第二临床医学院,甘肃 兰州 730000;3.四川省妇幼保健院麻醉科,四川 成都 610000)
Author(s):
YU Wenbo1; LIAO Chenxi2; ZHANG Jian3; ZHAI Bo1
(1.Department of Cardiothoracic SurgeryZhengzhou Children’s Hospital,Henan Children’s HospitalChildren’s Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,Henan,China;2.Second Clinical Medical College of Lanzhou University,Lanzhou 730000,Gansu,China;3.Sichuan Maternal and Child Health Hospital,Chengdu 610000,Sichuan ,China)
关键词:
体外膜肺氧合; 先天性心 脏病; 心脏手术
Keywords:
Extracorporeal membrane oxygenation;  Congenital heart disease;  Cardiacsurgery
DOI:
10.16806/j.cnki.issn.1004-3934.2021.07.014
摘要:
体外膜肺氧合（ECMO）是在体外循环基础上发展起来的体外生命支持技术，为各种原因导致的重症心肺功能衰竭患者提供暂时性心肺支持，争取原发疾病治疗和恢复的时间窗口，在危重患者的救治中发挥着十分重要的作用。随着婴幼儿心脏手术水平的提高，先天性心脏病（CHD）患儿手术年龄不断降低，手术难度系数也不断增加，CHD术后需要ECMO支持治疗的高危患儿也日益增多。及时有效的ECMO辅助，能维持CHD术后严重心力衰竭患儿循环的稳定，改善组织缺氧状态，进而提高CHD术后高危患儿的生存率。现对ECMO辅助治疗在婴幼儿CHD术后的应用现状、辅助策略、并发症及发展方向等做如下分析总结。
Abstract:
Extracorporeal membrane oxygenation(ECMO) is an extracorporeal life support technology developed on the basis of cardiopulmonary bypass,which provides temporary cardiopulmonary support for patients with severe cardiopulmonary failure caused by various reasons,and strives for the time window for the treatment and recovery of primary diseases,and plays a very important role in the treatment of critically ill patients. With the improvement of the level of infant heart surgery,the operation age of children with congenital heart disease(CHD) is decreasing,the difficulty coefficient of operation is increasing,and the number of high-risk children who need ECMO support treatment after CHD surgery is increasing. Timely and effective ECMO assistance can maintain the circulation stability of children with severe heart failure after CHD surgery,improve the hypoxia state of tissues,and then improve the survival rate of high-risk children after CHD surgery. Therefore, we analyzed and summarized the application status,auxiliary strategies,complications and development direction of ECMO adjuvant therapy in infants with CHD after operation as follows

参考文献/References:

[1].Firstenberg MS,Stahel PF,Hanna J,et al. Successful COVID-19 rescue therapy by extra-corporeal membrane oxygenation(ECMO) for respiratory failure:a case report[J].Patient Saf Surg,2020,14:20.
[2].Hill JD,O’Brien TG,Murray JJ,et al. Prolonged extracorporeal oxygenation for acute post-traumatic respiratory failure(shock-lung syndrome).Use of the Bramson membrane Lung[J]. N Engl J Med ,1972, 286(12):629-634．
[3].Straube T,Cheifetz IM,Jackson KW. Extracorporeal membrane oxygenation for hemodynamic support[J]. Clin Perinatol, 2020,47(3):671-684.
[4].Azizov F,Merkle J,Fatullayev J,et al. Outcomes and factors associated with early mortality in pediatric and neonatal patients requiring extracorporeal membrane oxygenation for heart and lung failure[J] . J Thorac Dis ,2019,11(suppl 6) :S871-S888.
[5].Ergün S,Yildiz O,Güne? M,et al.Use of extracorporeal membrane oxygenation in postcardiotomy pediatric patients:parameters affecting survival[J]. Perfusion,2020,35(7):608-620.
[6].Roeleveld PP,Mendonca M. Neonatal cardiac ECMO in 2019 and beyond[J]. Front Pediatr,2019,7:327.
[7].Bartlett RH,Gazzaniga AB,Jefferies MR,et al. Extracorporeal membrane oxygenation(ECMO) cardiopulmonary support in infancy[J]. Trans Am Soc Artif Intern Organs,1976,22:80-93.
[8].Pilan ML,Moreno G,Krynski M,et al. Extracorporeal membrane oxygenation in pediatric cardiovascular care:experience of a center in argentina[J]. Arch Argent Pediatr, 2019,117(3):157-163.
[9].Barbaro RP,Paden ML,Guner YS,et al．Pediatric Extracorporeal Life Support Organization Registry International Report 2016[J]．ASAIO J，2017,63(4):456-463．
[10].McKenzie JM,Scodellaro T,d’Udekem Y,et al. Late-term gestation is associated with improved survival in neonates with congenital heart disease following postoperative extracorporeal life support[J]. Pediatr Crit Care Med,2017,18(9):876-883.
[11].Fukuhara S,Takeda K,Garan AR,et al. Contemporary mechanical circulatory support therapy for postcardiotomy shock[J]. Gen Thorac Cardiovasc Surg,2016,64(4):183-191.
[12].Melvan JN,Davis J,Heard M,et al. Factors associated with survival following extracorporeal cardiopulmonary resuscitation in children[J]. World J Pediatr Congenit Heart Surg,2020,11(3):265-274.
[13].中国医师协会新生儿科医师分会,《中华儿科杂志》编辑委员会. 新生儿呼吸衰竭体外膜肺氧合支持专家共识[J].中华儿科杂志,2018,56(5):327-331.
[14].Góreczny S,McLennan D,Morgan GJ,et al. Accessing extracorporeal membrane oxygenation circuits to perform emergent interventional cardiac catheterisation[J]. Cardiol Young, 2019,29(10):1290-1293.
[15].杨丽君,叶莉芬,范勇,等.小儿先天性心脏病体外膜氧合支持的死亡原因分析[J].中国体外循环杂志,2019,17(4):227-230,235.
[16].Lorusso R,Raffa GM,Kowalewski M,et al. Structured review of post-cardiotomy extracorporeal membrane oxygenation:part 2-pediatric patients[J]. J Heart Lung Transplant,2019,38(11):1144-1161.
[17].Donker DW, Brodie D, Henriques JPS, et al . Left ventricular unloading during veno-arterial ECMO:a review of percutaneous and surgical unloading interventions[J].Perfusion,2019,34(2):98-105.
[18].Schlapbach LJ,Horton SB,Long DA,et al. Study protocol:NITric oxide during cardiopulmonary bypass to improve Recovery in Infants with congenital heart defects(NITRIC trial):a randomised controlled trial[J]. BMJ Open,2019,9(8):e026664.
[19].Boscamp NS,Turner ME,Crystal M,et al. Cardiac catheterization in pediatric patients supported by extracorporeal membrane oxygenation:a 15-year experience[J]. Pediatr Cardiol,2017,38(2):332-337.
[20].Dalia AA ,Ortoleva J ,Fiedler A,et al. Extracorporeal membrane oxygenation is a team sport:institutional survival benefits of a formalized ECMO team[J]. J Cardiothorac Vasc Anesth,2019,33(4):902-907.
[21].艾雪峰,宫艺其,洪小杨,等. 中国儿科心脏围手术期体外生命支持技术开展情况[J]. 中国体外循环杂志,2018,16(1):3-6.
[22].中国生物医学工程学会体外循环分会. 2019年中国心外科手术和体外循环数据白皮书[J]. 中国体外循环杂志,2020,18(4):193-196.
[23].Barton R,Ignjatovic V,Monagle P. Anticoagulation during ECMO in neonatal and paediatric patients[J] . Thromb Ｒes,2019,173:172-177.
[24].Roumy A,Liaudet L,Rsca M,et al. Pulmonary complications associated with veno-arterial extra-corporeal membrane oxygenation:a comprehensive review[J]. Crit Care,2020,24(1):212．
[25].Ortega SB ,Pandiyan P ,Windsor J ,et al. A pilot study identifying brain-targeting adaptive immunity in pediatric extracorporeal membrane oxygenation patients with acquired brain injury[J]. Crit Care Med,2019,47(3) :e206-e213.
[26].Chong M,Lopez-Magallon AJ,Saenz L,et al. Use of therapeutic plasma exchange during extracorporeal life support in critically ill cardiac children with thrombocytopenia associated multiorgan failure[J] . Front Pediatr,2017,5:254．
[27].Cashen K,Reeder R,Dalton HJ,et al. Acquired infection?during? neonatal and pediatric?extracorporeal membrane oxygenation[J]. Perfusion,2018,33(6):472-482.
[28].孙丽娜,王宁夫. 体外膜肺氧合的临床应用进展[J]. 心血管病学进展, 2013,34(3):416-419.
[29].汪蓉,唐炯,罗素新. 成人体外膜肺氧合临床研究进展[J]. 心血管病学进展, 2015,36(4):495-499.
[30].Barrett CS,Chan TT,Wilkes J,et al. Association of pediatric cardiac surgical volume and mortality after cardiac ECMO[J]. ASAIO J,2017,63(6):802-809.

相似文献/References:

[1]段安琪 罗勤 赵智慧 赵青 柳志红.体外膜肺氧合支持下肝素诱导的血小板减少症研究进展[J].心血管病学进展,2021,(12):1157.[doi:10.16806/j.cnki.issn.1004-3934.2021.12.001]
　DUAN Anqi,LUO Qin,ZHAO Zhihui,et al.Heparin-Induced Thrombocytopenia in Patients Receiving Extracorporeal Membrane Oxygenation[J].Advances in Cardiovascular Diseases,2021,(7):1157.[doi:10.16806/j.cnki.issn.1004-3934.2021.12.001]
[2]艾婷婷?刘思捷?蔡珍.体外膜肺氧合在急性心肌梗死合并心源性休克患者中的应用研究进展[J].心血管病学进展,2024,(1):65.[doi:10.16806/j.cnki.issn.1004-3934.2024.01.017]
　AI Tingting,LIU Sijie,CAI Zhen.Application of ECMO in Patients with AMI Complicated with Cardiogenic Shock[J].Advances in Cardiovascular Diseases,2024,(7):65.[doi:10.16806/j.cnki.issn.1004-3934.2024.01.017]

更新日期/Last Update: 2021-09-10