Complications of extracorporeal membrane oxygenation in neonates
10.3760/cma.j.issn.1673-4912.2018.03.014
- VernacularTitle:新生儿应用体外膜肺氧合的并发症及防治
- Author:
Yipei YANG
1
;
Jianguo ZHOU
;
Chao CHEN
Author Information
1. 复旦大学附属儿科医院新生儿科
- Keywords:
Extracorporeal membrane oxygenation;
Neonate;
Complications;
Long term follow-up;
Hemorrhage
- From:
Chinese Pediatric Emergency Medicine
2018;25(3):221-224
- CountryChina
- Language:Chinese
-
Abstract:
Extracorporeal membrane oxygenation(ECMO)is an important cardiopulmonary support technique.It is the ultimate treatment for heart failure and lung failure after conventional treatment.ECMO enables the body to temporarily replace the pulmonary function and part of the heart function by extracorpore-al gas exchange,and creates a time window for the recovery of respiratory or cardiac function. In 1974, ECMO was first used in neonates.There are many complications in the application of ECMO in neonates, including mechanical complications,bleeding and thrombosis,hemolysis,neurological complications,renal dysfunction,gastrointestinal complications,infection,etc.Long term follow-up found that growth and develop-ment are affected by varying degrees. Timely monitoring,identification of complications and appropriate treatment will improve outcomes.