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Lingnan Modern Clinics in Surgery ›› 2020, Vol. 20 ›› Issue (04): 460-462.DOI: 10.3969/j.issn.1009-976X.2020.04.012

• Original Articles and Clinical Research • Previous Articles     Next Articles

The application of VAV-ECMO in the rescue of severe cardiopulmonary dysfunction caused by multiple trauma: a case report and experience sharing

SHI Fen-mei1, MAI Han-tao2, HAO Peng2, HE Qing2, ZHANG Ke-lin2   

  1. 1. Department of Anesthesiology;
    2. Surgical Intensive Care Unit(SICU), Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China
  • Contact: ZHANG Ke-lin, zhkelin@mail.sysu.edu.cn

VAV-ECMO抢救多发伤致严重心肺功能障碍1例报告及经验分享

石粉梅1, 麦汉滔2, 郝鹏2, 何清2, 张克林2   

  1. 中山大学孙逸仙纪念医院1.麻醉科; 2.重症医学科外科ICU(SICU),广州510120
  • 通讯作者: 张克林,Email:zhkelin@mail.sysu.edu.cn

Abstract: Objective To explore the feasibility and risk control of VAV-ECMO in the treatment of severe cardiopulmonary dysfunction caused by multiple trauma. Methods Based on the analysis of the clinical characteristics, diagnosis and treatment of a case of severe cardiopulmonary dysfunction caused by multiple trauma in our hospital, and combined with domestic and foreign literature, the feasibility and risk of VAV-ECMO in the treatment of severe cardiopulmonary dysfunction caused by multiple trauma were evaluated. Results Post-traumatic coagulation dysfunction is a difficult problem in ECMO treatment, and VAV-ECMO is a new method to rescue severe cardiopulmonary dysfunction caused by multiple trauma. Conclusion VAV-ECMO provides a new method for rescuing severe cardiopulmonary dysfunction caused by multiple injuries, and risk assessment is the key.

Key words: severe cardiopulmonary dysfunction, multiple trauma, veno-arterio-venous ECMO

摘要: 目的 探讨VAV-ECMO抢救多发伤致严重心肺功能障碍的可行性及风险控制。方法 通过对我院治疗的1例多发伤致严重心肺功能障碍病例的临床特点及诊治经过的分析,结合国内外文献资料学习,评估VAV-ECMO治疗多发伤致严重心肺功能障碍的可行性及风险。结果 创伤后凝血功能障碍是ECMO治疗的难点,VAV-ECMO是抢救多发伤致严重心肺功能障碍的新方法。结论 VAV-ECMO为抢救多发伤致严重心肺功能障碍提供新方法,风险评估是关键。

关键词: 多发伤, 严重心肺功能障碍, VAV-ECMO

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