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中华产科急救电子杂志 ›› 2025, Vol. 14 ›› Issue (01) : 5 -7. doi: 10.3877/cma.j.issn.2095-3259.2025.01.002

述评

亟需建立应用体外膜肺氧合救治危重孕产妇的预案
樊尚荣1,(), 黄磊2   
  1. 1. 518036 深圳,北京大学深圳医院妇产科
    2. 518036 深圳,北京大学深圳医院重症医学科
  • 收稿日期:2024-08-28 出版日期:2025-02-18
  • 通信作者: 樊尚荣
  • 基金资助:
    国家自然科学基金(82171676)

Urgent need to establish a contingency plan for using ECMO to treat critically ill pregnant women

Shangrong Fan(), Le Huang   

  • Received:2024-08-28 Published:2025-02-18
  • Corresponding author: Shangrong Fan
引用本文:

樊尚荣, 黄磊. 亟需建立应用体外膜肺氧合救治危重孕产妇的预案[J/OL]. 中华产科急救电子杂志, 2025, 14(01): 5-7.

Shangrong Fan, Le Huang. Urgent need to establish a contingency plan for using ECMO to treat critically ill pregnant women[J/OL]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2025, 14(01): 5-7.

图1 ECMO 的作用机制模式图 A:下腔静脉;B:上腔静脉;C:腹主动脉;A1:下腔静脉;B1:上腔静脉;C1 腹主动脉;VV-ECMO通常选择股静脉将静脉血引出至ECMO 仪,氧合后的动脉血泵入颈内静脉至上腔静脉,氧合血经右心房-右心室-左心房-左心室至全身;VA-ECMO 通常亦选择股静脉引出静脉血至ECMO 仪,氧合后的动脉血泵入股动脉至腹主动脉,氧合血经腹主动脉至双下肢,再经股静脉通过下腔静脉回右心房
表1 孕产妇各类疾病应用ECMO 治疗的首选模式
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