The clinical application of extracorporeal membrane oxygenation in the preoperative period of cardiovascular surgery
10.3760/cma.j.issn.1001-4497.2018.09.006
- VernacularTitle:静动脉体外膜肺氧合在心血管外科围手术期的临床应用
- Author:
Shibo WEI
1
;
Hulin PIAO
;
Yong WANG
;
Dan LI
;
Xinghao GAO
;
Tiance WANG
;
Kexiang LIU
Author Information
1. 吉林大学第二医院心血管外科
- Keywords:
Extracorporeal membrane oxygenation;
Cardiac surgical procedures;
Complications after surgery;
Low cardiac output syndrome
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(9):534-536
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize and evaluate the clinical effect of extraco-rporeal membrane oxygenation(ECMO) support for critically ill patients after heart surgery,and to explore the factors that influenced the prognosis of ECMO.Methods The clinical data of 67 patients undergoing ECMO admitted to the Second Hospital of Jilin University from August 2013 to July 2017 were retrospectively analyzed.The patient's age ranged from 22 months to 78 years,including 3 infants aged 22,24,30 months and 64 adults ranged from 32 to 78 years,the mean age was(56.52 ± 10.99) years.Results The average ECMO support time was (235.79 ± 123.87) h,the mean mechanical ventilation time was (166.11 ± 148.31) h.49 patients weaned off successfully from ECMO,38 of them were discharged and 11 died within 28 days.18 patients gaved up treatment.42 patients suffered the complications.Conclusion VA-ECMO is a significant supportive method for preoperative intensive care in patients undergoing cardiovascular surgery.The keys to optimal results are grasping the indications of ECMO,earlier stopping mechanical ventilation,cluster curing(which involves reasonable anticoagulation,protection of organ function,prevention of hemorrhage,infection and limb distal ischemia).
