Clinical experience of changing the membranous pulmonary system during extracorporeal membrane oxygenation in infants after congenital heart disease operation
10.3760/cma.j.issn.1673-4912.2021.04.011
- VernacularTitle:先天性心脏病术后婴儿体外膜肺氧合治疗中途更换膜肺系统的临床经验
- Author:
Yue CHEN
;
Xiaoliang QIAN
;
Weijie LIANG
;
Jianchao LI
;
Leiyi YANG
;
Jiaqiang ZHANG
;
Taibing FAN
;
Zhaoyun CHENG
- From:
Chinese Pediatric Emergency Medicine
2021;28(4):297-300
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical experience of changing the membranous pulmonary system during extracorporeal membrane oxygenation(ECMO) in infants after congenital heart disease opration with cardiopulmonary bypass.Methods:From January to September in 2019, 6 cases of congenital heart disease with cardio-pulmonary bypass in our hospital were analyzed retrospectively, whose membrane obstruction occurred during ECMO treatment and replaced successfully.The hemodynamics and blood gas before and after replacement of ECMO system were observed, and the experience was summarized.Results:Six patients(3 males and 3 females), aging from 1 to 3 months and weighing from 3.0 to 4.9 kg, were received VA-ECMO adjuvant therapy.The ECMO system replacement process was smooth and took 175-209 s. The hemodynamic of the children was stable.The ECMO support time was 134-249 h. After the improvement of cardiac systolic function, all children were successfully withdrawn and survived.Conclusion:The improved method of liquid replacement in ECMO system can make full use of the blood components in the original system and avoid the loss of blood tangible components.According to the plan of rapid replacement, the risk of replacement will not be increased.
