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中华危重症医学杂志(电子版) ›› 2022, Vol. 15 ›› Issue (05) : 409 -412. doi: 10.3877/cma.j.issn.1674-6880.2022.05.011

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静脉-静脉体外膜肺氧合应用于危重大气道阻塞三例并文献复习
邹乐1, 李伟1, 张忠满1, 朱轶1, 安迪1, 夏雨1, 丁涛1, 时育彤1, 梅勇1, 吕金如1, 陈旭锋1,()   
  1. 1. 210029 南京,南京医科大学第一附属医院急诊医学科
  • 收稿日期:2022-06-18 出版日期:2022-10-31
  • 通信作者: 陈旭锋
  • Received:2022-06-18 Published:2022-10-31
引用本文:

邹乐, 李伟, 张忠满, 朱轶, 安迪, 夏雨, 丁涛, 时育彤, 梅勇, 吕金如, 陈旭锋. 静脉-静脉体外膜肺氧合应用于危重大气道阻塞三例并文献复习[J]. 中华危重症医学杂志(电子版), 2022, 15(05): 409-412.

大气道阻塞是一种危及生命的紧急情况,导致大气道阻塞的原因包括肿瘤、异物、血栓和外源性压迫等。这些疾病的高级气道建立通常具有挑战性,一方面,这类患者的病情常常需要急诊建立高级气道;另一方面,在建立高级气道前,这类患者都会予以镇静、肌松等处理,一旦高级气道建立失败,患者将处于气道崩溃的状态[1]。静脉-静脉体外膜肺氧合(venovenous extracorporeal membrane oxygenation,VV-ECMO)是一种先进的呼吸支持方式,能够短期内替代患者自身肺功能,在体外完成气体交换,确保呼吸衰竭患者足够的氧合。南京医科大学第一附属医院在3例危重大气道阻塞患者中成功应用VV-ECMO支持解除气道梗阻并顺利撤机,现报告如下。

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