{"id":6937,"date":"2024-06-12T11:51:57","date_gmt":"2024-06-12T03:51:57","guid":{"rendered":"https:\/\/www.cililun.com\/?p=6937"},"modified":"2024-06-12T11:51:57","modified_gmt":"2024-06-12T03:51:57","slug":"ecmotiwaimofeiyanghe","status":"publish","type":"post","link":"https:\/\/www.cililun.com\/ecmotiwaimofeiyanghe\/","title":{"rendered":"ECMO\uff08\u4f53\u5916\u819c\u80ba\u6c27\u5408"},"content":{"rendered":"<ul class=\"toc_post_list\">\n<li>\n<h2><a href=\"https:\/\/www.cililun.com\/tag\/ai\/\" title=\"\u70b9\u51fb\u4e86\u89e3\u66f4\u591a\u5173\u4e8e[ai]\u7684\u6587\u7ae0\" target=\"_blank\">ai<\/a><\/h2>\n<ul>\n<li><a href=\"#ecmozaixinguanfeiyanzhiliaozhongdeyingyong-WAONbPHBXR\">ECMO\u5728\u65b0\u51a0\u80ba\u708e\u6cbb\u7597\u4e2d\u7684\u5e94\u7528<\/a><\/li>\n<li><a href=\"#ecmozhiliaohoudekangfuyuhuli-WAONbPHBXR\">ECMO\u6cbb\u7597\u540e\u7684\u5eb7\u590d\u4e0e\u62a4\u7406<\/a><\/li>\n<li><a href=\"#ecmotuanduidejiaoseyuzhize-WAONbPHBXR\">ECMO\u56e2\u961f\u7684\u89d2\u8272\u4e0e\u804c\u8d23<\/a><\/li>\n<li><a href=\"#ecmozhiliaodechenggonganlifenxiang-WAONbPHBXR\">ECMO\u6cbb\u7597\u7684\u6210\u529f\u6848\u4f8b\u5206\u4eab<\/a><\/li>\n<li><a href=\"#ecmoyuqitashengmingzhichijishudebijiao-WAONbPHBXR\">ECMO\u4e0e\u5176\u4ed6\u751f\u547d\u652f\u6301\u6280\u672f\u7684\u6bd4\u8f83<\/a><\/li>\n<li><a href=\"#ecmozhiliaodefengxianyubingfazheng-WAONbPHBXR\">ECMO\u6cbb\u7597\u7684\u98ce\u9669\u4e0e\u5e76\u53d1\u75c7<\/a><\/li>\n<li><a href=\"#ecmodelishiyufazhan-WAONbPHBXR\">ECMO\u7684\u5386\u53f2\u4e0e\u53d1\u5c55<\/a><\/li>\n<li><a href=\"#ecmozhiliaodeshiyingzhenghejinjizheng-WAONbPHBXR\">ECMO\u6cbb\u7597\u7684\u9002\u5e94\u75c7\u548c\u7981\u5fcc\u75c7<\/a><\/li>\n<li><a href=\"#ecmozaizhongzhengjianhuzhongdeyingyong-WAONbPHBXR\">ECMO\u5728\u91cd\u75c7\u76d1\u62a4\u4e2d\u7684\u5e94\u7528<\/a><\/li>\n<li><a href=\"#ecmodegongzuoyuanli-WAONbPHBXR\">ECMO\u7684\u5de5\u4f5c\u539f\u7406<\/a><\/li>\n<li><a href=\"#changjianwenti-WAONbPHBXR\">\u5e38\u89c1\u95ee\u9898<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>ECMO\uff1a\u751f\u547d\u7684\u5b88\u62a4\u8005\uff0c\u91cd\u75c7\u60a3\u8005\u7684\u5e0c\u671b\u3002<\/p>\n<p>\u4f53\u5916\u819c\u80ba\u6c27\u5408\uff08ECMO\uff09\u662f\u4e00\u79cd\u7528\u4e8e\u91cd\u75c7\u60a3\u8005\u7684\u751f\u547d\u652f\u6301\u6280\u672f\uff0c\u4e3b\u8981\u7528\u4e8e\u5fc3\u80ba\u529f\u80fd\u4e25\u91cd\u53d7\u635f\u7684\u60a3\u8005\u3002ECMO\u901a\u8fc7\u4f53\u5916\u5faa\u73af\u7cfb\u7edf\uff0c\u5c06\u60a3\u8005\u7684\u8840\u6db2\u5f15\u51fa\u4f53\u5916\uff0c\u7ecf\u8fc7\u6c27\u5408\u5668\u8fdb\u884c\u6c27\u5408\u548c\u4e8c\u6c27\u5316\u78b3\u7684\u53bb\u9664\uff0c\u518d\u5c06\u5904\u7406\u540e\u7684\u8840\u6db2\u8fd4\u56de\u4f53\u5185\uff0c\u4ece\u800c\u66ff\u4ee3\u6216\u8f85\u52a9\u60a3\u8005\u7684\u5fc3\u80ba\u529f\u80fd\u3002<\/p>\n<p>ECMO\u7cfb\u7edf\u4e3b\u8981\u7531\u6cf5\u3001\u6c27\u5408\u5668\u3001\u52a0\u70ed\u5668\u548c\u7ba1\u8def\u7ec4\u6210\u3002\u6cf5\u8d1f\u8d23\u5c06\u8840\u6db2\u4ece\u60a3\u8005\u4f53\u5185\u62bd\u51fa\u5e76\u63a8\u52a8\u8840\u6db2\u6d41\u7ecf\u6574\u4e2a\u7cfb\u7edf\uff1b\u6c27\u5408\u5668\u5219\u6a21\u62df\u80ba\u7684\u529f\u80fd\uff0c\u8fdb\u884c\u6c14\u4f53\u4ea4\u6362\uff1b\u52a0\u70ed\u5668\u7528\u4e8e\u7ef4\u6301\u8840\u6db2\u7684\u6e29\u5ea6\uff1b\u7ba1\u8def\u5219\u8fde\u63a5\u60a3\u8005\u548cECMO\u8bbe\u5907\u3002<\/p>\n<p>ECMO\u5206\u4e3a\u9759\u8109-\u52a8\u8109\uff08VA-ECMO\uff09\u548c\u9759\u8109-\u9759\u8109\uff08VV-ECMO\uff09\u4e24\u79cd\u7c7b\u578b\u3002VA-ECMO\u4e3b\u8981\u7528\u4e8e\u5fc3\u810f\u529f\u80fd\u8870\u7aed\u7684\u60a3\u8005\uff0c\u901a\u8fc7\u52a8\u8109\u548c\u9759\u8109\u8fdb\u884c\u8840\u6db2\u5faa\u73af\uff1bVV-ECMO\u5219\u4e3b\u8981\u7528\u4e8e\u4e25\u91cd\u547c\u5438\u8870\u7aed\u7684\u60a3\u8005\uff0c\u901a\u8fc7\u9759\u8109\u8fdb\u884c\u8840\u6db2\u5faa\u73af\u3002<\/p>\n<p>ECMO\u7684\u9002\u5e94\u75c7\u5305\u62ec\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\uff08ARDS\uff09\u3001\u91cd\u75c7\u80ba\u708e\u3001\u5fc3\u808c\u6897\u6b7b\u3001\u5fc3\u810f\u624b\u672f\u540e\u7684\u5fc3\u80ba\u529f\u80fd\u4e0d\u5168\u7b49\u3002\u5c3d\u7ba1ECMO\u5728\u62a2\u6551\u5371\u91cd\u60a3\u8005\u65b9\u9762\u5177\u6709\u663e\u8457\u6548\u679c\uff0c\u4f46\u5176\u4f7f\u7528\u4e5f\u4f34\u968f\u7740\u4e00\u5b9a\u7684\u98ce\u9669\uff0c\u5982\u51fa\u8840\u3001\u611f\u67d3\u3001\u8840\u6813\u5f62\u6210\u7b49\u3002\u56e0\u6b64\uff0cECMO\u7684\u4f7f\u7528\u9700\u8981\u5728\u4e13\u4e1a\u533b\u7597\u56e2\u961f\u7684\u4e25\u683c\u76d1\u63a7\u4e0b\u8fdb\u884c\u3002<\/p>\n<p>\u603b\u4e4b\uff0cECMO\u662f\u4e00\u79cd\u91cd\u8981\u7684\u751f\u547d\u652f\u6301\u6280\u672f\uff0c\u4e3a\u8bb8\u591a\u91cd\u75c7\u60a3\u8005\u63d0\u4f9b\u4e86\u5b9d\u8d35\u7684\u6cbb\u7597\u673a\u4f1a\u3002\u7136\u800c\uff0c\u5176\u590d\u6742\u6027\u548c\u6f5c\u5728\u98ce\u9669\u4e5f\u8981\u6c42\u533b\u7597\u56e2\u961f\u5177\u5907\u9ad8\u5ea6\u7684\u4e13\u4e1a\u77e5\u8bc6\u548c\u64cd\u4f5c\u6280\u80fd\u3002<\/p>\n<h1 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id=\"ecmodegongzuoyuanli-WAONbPHBXR\">ECMO\u7684\u5de5\u4f5c\u539f\u7406<\/h1>\n<p>\u4f53\u5916\u819c\u80ba\u6c27\u5408\uff08ECMO\uff09\u662f\u4e00\u79cd\u5148\u8fdb\u7684\u751f\u547d\u652f\u6301\u6280\u672f\uff0c\u5e7f\u6cdb\u5e94\u7528\u4e8e\u91cd\u75c7\u76d1\u62a4\u4e2d\uff0c\u4ee5\u5e2e\u52a9\u90a3\u4e9b\u56e0\u4e25\u91cd\u5fc3\u80ba\u529f\u80fd\u8870\u7aed\u800c\u65e0\u6cd5\u901a\u8fc7\u5e38\u89c4\u6cbb\u7597\u624b\u6bb5\u6062\u590d\u7684\u60a3\u8005\u3002ECMO\u7684\u5de5\u4f5c\u539f\u7406\u4e3b\u8981\u57fa\u4e8e\u4f53\u5916\u5faa\u73af\u7cfb\u7edf\uff0c\u901a\u8fc7\u5c06\u60a3\u8005\u7684\u8840\u6db2\u5f15\u51fa\u4f53\u5916\uff0c\u8fdb\u884c\u6c27\u5408\u548c\u4e8c\u6c27\u5316\u78b3\u7684\u53bb\u9664\uff0c\u518d\u5c06\u5904\u7406\u540e\u7684\u8840\u6db2\u8fd4\u56de\u4f53\u5185\uff0c\u4ece\u800c\u6682\u65f6\u66ff\u4ee3\u6216\u8f85\u52a9\u60a3\u8005\u7684\u5fc3\u80ba\u529f\u80fd\u3002<\/p>\n<p>\u9996\u5148\uff0cECMO\u7cfb\u7edf\u7684\u6838\u5fc3\u7ec4\u4ef6\u5305\u62ec\u8840\u6cf5\u3001\u6c27\u5408\u5668\u3001\u52a0\u70ed\u5668\u548c\u7ba1\u8def\u3002\u8840\u6cf5\u8d1f\u8d23\u5c06\u8840\u6db2\u4ece\u60a3\u8005\u4f53\u5185\u62bd\u51fa\uff0c\u5e76\u901a\u8fc7\u7ba1\u8def\u8f93\u9001\u5230\u6c27\u5408\u5668\u3002\u6c27\u5408\u5668\u662fECMO\u7cfb\u7edf\u7684\u5173\u952e\u90e8\u5206\uff0c\u5b83\u6a21\u62df\u4e86\u80ba\u7684\u529f\u80fd\uff0c\u901a\u8fc7\u534a\u900f\u819c\u5c06\u6c27\u6c14\u5f15\u5165\u8840\u6db2\uff0c\u540c\u65f6\u6392\u51fa\u4e8c\u6c27\u5316\u78b3\u3002\u52a0\u70ed\u5668\u5219\u786e\u4fdd\u8840\u6db2\u5728\u8fd4\u56de\u60a3\u8005\u4f53\u5185\u4e4b\u524d\u88ab\u52a0\u70ed\u5230\u9002\u5b9c\u7684\u4f53\u6e29\uff0c\u4ee5\u7ef4\u6301\u6b63\u5e38\u7684\u751f\u7406\u72b6\u6001\u3002<\/p>\n<p>\u63a5\u4e0b\u6765\uff0cECMO\u7684\u64cd\u4f5c\u8fc7\u7a0b\u53ef\u4ee5\u5206\u4e3a\u9759\u8109-\u52a8\u8109\uff08VA-ECMO\uff09\u548c\u9759\u8109-\u9759\u8109\uff08VV-ECMO\uff09\u4e24\u79cd\u6a21\u5f0f\u3002VA-ECMO\u4e3b\u8981\u7528\u4e8e\u5fc3\u810f\u529f\u80fd\u8870\u7aed\u7684\u60a3\u8005\uff0c\u901a\u8fc7\u5c06\u8840\u6db2\u4ece\u9759\u8109\u5f15\u51fa\uff0c\u7ecf\u8fc7\u6c27\u5408\u540e\u518d\u8f93\u9001\u56de\u52a8\u8109\uff0c\u4ece\u800c\u76f4\u63a5\u652f\u6301\u5fc3\u810f\u548c\u80ba\u7684\u529f\u80fd\u3002\u800cVV-ECMO\u5219\u4e3b\u8981\u7528\u4e8e\u5355\u7eaf\u80ba\u529f\u80fd\u8870\u7aed\u7684\u60a3\u8005\uff0c\u8840\u6db2\u5728\u9759\u8109\u4e4b\u95f4\u5faa\u73af\uff0c\u4e3b\u8981\u8d77\u5230\u66ff\u4ee3\u80ba\u7684\u4f5c\u7528\uff0c\u800c\u5fc3\u810f\u529f\u80fd\u5219\u7531\u60a3\u8005\u81ea\u8eab\u7ef4\u6301\u3002<\/p>\n<p>\u6b64\u5916\uff0cECMO\u7684\u5e94\u7528\u4e0d\u4ec5\u9650\u4e8e\u6210\u4eba\u60a3\u8005\uff0c\u5728\u65b0\u751f\u513f\u548c\u513f\u7ae5\u91cd\u75c7\u76d1\u62a4\u4e2d\u4e5f\u6709\u5e7f\u6cdb\u5e94\u7528\u3002\u5bf9\u4e8e\u65b0\u751f\u513f\uff0cECMO\u5e38\u7528\u4e8e\u6cbb\u7597\u4e25\u91cd\u7684\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\u3001\u5148\u5929\u6027\u5fc3\u810f\u75c5\u548c\u8d25\u8840\u75c7\u7b49\u5371\u53ca\u751f\u547d\u7684\u75be\u75c5\u3002\u513f\u7ae5\u60a3\u8005\u5219\u53ef\u80fd\u56e0\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\u3001\u5fc3\u808c\u708e\u6216\u5176\u4ed6\u4e25\u91cd\u611f\u67d3\u800c\u9700\u8981ECMO\u652f\u6301\u3002<\/p>\n<p>\u5c3d\u7ba1ECMO\u6280\u672f\u5728\u633d\u6551\u751f\u547d\u65b9\u9762\u5177\u6709\u663e\u8457\u4f18\u52bf\uff0c\u4f46\u5176\u5e94\u7528\u4e5f\u4f34\u968f\u7740\u4e00\u5b9a\u7684\u98ce\u9669\u548c\u6311\u6218\u3002\u4f8b\u5982\uff0c\u957f\u65f6\u95f4\u4f7f\u7528ECMO\u53ef\u80fd\u5bfc\u81f4\u51fa\u8840\u3001\u611f\u67d3\u548c\u8840\u6813\u5f62\u6210\u7b49\u5e76\u53d1\u75c7\u3002\u6b64\u5916\uff0cECMO\u8bbe\u5907\u548c\u64cd\u4f5c\u7684\u590d\u6742\u6027\u8981\u6c42\u533b\u62a4\u4eba\u5458\u5177\u5907\u9ad8\u5ea6\u4e13\u4e1a\u7684\u6280\u80fd\u548c\u4e30\u5bcc\u7684\u4e34\u5e8a\u7ecf\u9a8c\u3002<\/p>\n<p>\u603b\u4e4b\uff0cECMO\u4f5c\u4e3a\u4e00\u79cd\u91cd\u8981\u7684\u4f53\u5916\u751f\u547d\u652f\u6301\u6280\u672f\uff0c\u5728\u73b0\u4ee3\u533b\u5b66\u4e2d\u53d1\u6325\u7740\u4e0d\u53ef\u66ff\u4ee3\u7684\u4f5c\u7528\u3002\u901a\u8fc7\u4e86\u89e3\u5176\u5de5\u4f5c\u539f\u7406\u548c\u64cd\u4f5c\u6a21\u5f0f\uff0c\u533b\u62a4\u4eba\u5458\u80fd\u591f\u66f4\u597d\u5730\u5e94\u7528\u8fd9\u4e00\u6280\u672f\uff0c\u4e3a\u91cd\u75c7\u60a3\u8005\u63d0\u4f9b\u6709\u6548\u7684\u6cbb\u7597\u652f\u6301\u3002\u7136\u800c\uff0c\u968f\u7740\u6280\u672f\u7684\u4e0d\u65ad\u8fdb\u6b65\u548c\u4e34\u5e8a\u7ecf\u9a8c\u7684\u79ef\u7d2f\uff0cECMO\u7684\u5e94\u7528\u524d\u666f\u5c06\u66f4\u52a0\u5e7f\u9614\uff0c\u8fdb\u4e00\u6b65\u63d0\u5347\u91cd\u75c7\u76d1\u62a4\u7684\u6574\u4f53\u6c34\u5e73\u3002<\/p>\n<h2 id=\"changjianwenti-WAONbPHBXR\">\u5e38\u89c1\u95ee\u9898<\/h2>\n<p>1. ECMO\u662f\u4ec0\u4e48\uff1f<br \/>\n&#8211; ECMO\u662f\u4f53\u5916\u819c\u80ba\u6c27\u5408\uff0c\u4e00\u79cd\u7528\u4e8e\u5fc3\u80ba\u652f\u6301\u7684\u4f53\u5916\u5faa\u73af\u6280\u672f\u3002<\/p>\n<p>2. ECMO\u7684\u4e3b\u8981\u7528\u9014\u662f\u4ec0\u4e48\uff1f<br \/>\n&#8211; ECMO\u4e3b\u8981\u7528\u4e8e\u652f\u6301\u4e25\u91cd\u5fc3\u80ba\u529f\u80fd\u8870\u7aed\u7684\u60a3\u8005\u3002<\/p>\n<p>3. ECMO\u6709\u54ea\u51e0\u79cd\u7c7b\u578b\uff1f<br \/>\n&#8211; ECMO\u6709\u9759\u8109-\u52a8\u8109\uff08VA-ECMO\uff09\u548c\u9759\u8109-\u9759\u8109\uff08VV-ECMO\uff09\u4e24\u79cd\u7c7b\u578b\u3002<\/p>\n<p>4. VA-ECMO\u548cVV-ECMO\u7684\u533a\u522b\u662f\u4ec0\u4e48\uff1f<br \/>\n&#8211; VA-ECMO\u652f\u6301\u5fc3\u80ba\u529f\u80fd\uff0cVV-ECMO\u4e3b\u8981\u652f\u6301\u80ba\u529f\u80fd\u3002<\/p>\n<p>5. ECMO\u7684\u9002\u5e94\u75c7\u6709\u54ea\u4e9b\uff1f<br \/>\n&#8211; \u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\uff08ARDS\uff09\u3001\u5fc3\u6e90\u6027\u4f11\u514b\u3001\u5fc3\u810f\u9aa4\u505c\u7b49\u3002<\/p>\n<p>6. ECMO\u7684\u7981\u5fcc\u75c7\u6709\u54ea\u4e9b\uff1f<br \/>\n&#8211; \u4e0d\u53ef\u9006\u7684\u591a\u5668\u5b98\u8870\u7aed\u3001\u4e25\u91cd\u7684\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u635f\u4f24\u7b49\u3002<\/p>\n<p>7. ECMO\u7684\u4e3b\u8981\u98ce\u9669\u662f\u4ec0\u4e48\uff1f<br \/>\n&#8211; \u51fa\u8840\u3001\u611f\u67d3\u3001\u8840\u6813\u5f62\u6210\u7b49\u3002<\/p>\n<p>8. ECMO\u7684\u8fd0\u884c\u539f\u7406\u662f\u4ec0\u4e48\uff1f<br \/>\n&#8211; \u8840\u6db2\u4ece\u4f53\u5185\u5f15\u51fa\uff0c\u901a\u8fc7\u6c27\u5408\u5668\u8fdb\u884c\u6c27\u5408\u548c\u4e8c\u6c27\u5316\u78b3\u6e05\u9664\uff0c\u518d\u56de\u8f93\u4f53\u5185\u3002<\/p>\n<p>9. ECMO\u9700\u8981\u591a\u957f\u65f6\u95f4\uff1f<br \/>\n&#8211; \u89c6\u75c5\u60c5\u800c\u5b9a\uff0c\u53ef\u80fd\u4ece\u51e0\u5929\u5230\u51e0\u5468\u4e0d\u7b49\u3002<\/p>\n<p>10. ECMO\u7684\u6210\u529f\u7387\u662f\u591a\u5c11\uff1f<br \/>\n&#8211; 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