重症呼吸衰竭患者体外膜肺氧合支持下的院间转运

doi:10.3969/j.issn.1002-1949.2019.09.013

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摘要目的总结体外膜肺氧合（ECMO）支持重症呼吸衰竭患者院间转运的经验，提高ECMO救治率。方法总结2013年1月至2018年10月19例静脉-静脉（V-V） ECMO支持的重症呼吸衰竭患者院间转运的模式、流程、并发症及管理经验。结果 19例患者均安全转运，其中1例转运过程中出现低氧血症。入院后救治成功8例，9例出现不可逆的多脏器衰竭而死亡，1例因循环不能维持死亡，1 例出现无法控制的腹膜后出血死亡，救治成功率8/19。结论在ECMO转运过程中合理的人员配置、充分的物品准备、适宜的车辆空间安排及转运人员之间密切的配合是提高转运安全性、稳定性及ECMO救治率的关键。

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	齐振昌
	李彤
	胡晓旻
	稂与恒
	段大为
	吴鹏
	马群兴
	宁萌

关键词 ：体外膜肺氧合（ECMO）, 院间转运, 重症呼吸衰竭

基金资助:天津市科技支撑重点项目（16YFZCSY01060）

通讯作者: 李彤（1962-），男，主任医师，教授，博士生导师，E-mail：litong3zx@sina.com。

作者简介: 齐振昌（1992-），男，硕士研究生。

引用本文:

齐振昌，李彤，胡晓旻，稂与恒，段大为，吴鹏，马群兴，宁萌. 重症呼吸衰竭患者体外膜肺氧合支持下的院间转运[J]. 中国急救医学, 2019, 39(9): 869-872.
Qi Zhen-chang, Li Tong, Hu Xiao-min, Lang Yu-heng, Duan Da-wei, Wu Peng, Ma Qun-xing, Ning Meng. Interhospital transportation of critically respiratory failure patients on extracorporeal membrane oxygenation. Chinese Journal of Critical Care Medicine, 2019, 39(9): 869-872.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.09.013 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I9/869

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