Single lung transplantation assisted by extracorporeal membrane oxygenation technique duringperioperative period:a report of 6 cases
10.3760/cma.j.issn.0254-1785.2019.06.010
- VernacularTitle:自制简易版体外膜肺氧合系统术中辅助单肺移植临床分析
- Author:
Xiaoliang QIAN
1
;
Yue CHEN
;
Jianchao LI
;
Dongfeng YAO
;
Chang GE
;
Jiaxin HUANG
;
Fanwei MENG
;
Jian ZHAO
;
Li WEI
;
Leiyi YANG
;
Zhaoyun CHENG
Author Information
1. 河南省人民医院郑州大学人民医院 阜外华中心血管病医院体外循环科 450000
- Keywords:
Single lung transplantation;
Extracorporeal membrane oxygenation;
Hemodynamics;
Blood gas analysis
- From:
Chinese Journal of Organ Transplantation
2019;40(6):365-368
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the application experiences and curative efficacies of single lung transplantation assisted by extracorporeal circulation with coated lung ,centrifugal pump and coated pipe .Methods Retrospective analysis was conducted for clinical data of 6 adult patients with respiratory insufficiency undergoing single lung transplantation .The changes of hemodynamics and oxygenation before and after adjuvant treatment were observed ,the effects of adjuvant evaluated and the experiences of application summarized .Results The hemodynamic parameters post-assistance significantly improved as compared with that pre-assistance and pulmonary arterial pressure dropped from (56 ± 15 ) to (45 ± 13 ) mmHg with statistically significant differences . Arterial blood gas parameters significantly improved .PO2 spiked from (47 ± 12) to (68 ± 9) mmHg and PCO2 declined from (65 ± 14) to (55 ± 12)mmHg .And there were statistically significant differences .All patients were discharged successfully .Conclusions The simple extracorporeal membrane oxygenation system of coated lung , centrifugal pump and coated pipe during routine extracorporeal circulation may guarantee the operative safety of single lung transplantation and provide a new therapeutic option .
