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