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投稿时间：2023-02-12 网络发布日期：2023-10-20
投稿时间：2023-02-12 网络发布日期：2023-10-20
中文摘要: 目的 总结在救治危重患者中采用腋动脉插管建立静脉—动脉体外膜肺氧合(VA-ECMO)的临床效果。
方法 收集西安交通大学第一附属医院2021年1月至12月经腋动脉插管建立VA-ECMO辅助的13例危重患者的临床资料（包括插管技巧、辅助时间、撤机率与转归），回顾性分析腋动脉插管VA-ECMO临床应用的效果。
结果 13例患者采用腋动脉插管VA-ECMO，其中10例为直接实施，3例由股-股VA-ECMO转换而来。实施时间27~48 min，平均36 min。7例患者成功撤机（其中1例脱机后因感染死亡），最终6例患者顺利出院，死亡7例。1例出现感染，1例伤口出血，无南北综合征、右上肢缺血或高灌注综合征发生。
结论 腋动脉插管VA-ECMO是一种安全、有效的辅助方式，具有一定的临床使用价值。
Abstract:ObjectiveTo summarize the clinical effect of axillary artery cannulation for venoarterial extracorporeal membrane oxygenation (VA-ECMO) in the treatment of critically ill patients.
Methods The clinical data (cannulation skills, auxiliary time, withdrawal probability and outcome) of critically ill patients who underwent axillary artery catheterization to establish VA-ECMO assistance at the First Affiliated Hospital of Xi'an Jiaotong University from January to December 2021 were collected, and the clinical effect of VA-ECMO through axillary artery cannulation was analyzed retrospectively.
Results Thirteen patients were treated with VA-ECMO via axillary artery cannulation, 10 were directly performed and 3 were converted from femoral-femoral VA-ECMO. The cannulation time was 27-48 min, with an average of 36 min. Seven patients were successfully removed from the machine (one of them died of an infection after being removed from the machine), and finally six patients were discharged smoothly and seven died.
keywords: Critical illness Extracorporeal membrane oxygenation Axillary artery cannulation Cannulation skills Assistance time Withdrawal probability Outcome
文章编号： 中图分类号：R459.7 文献标志码：B
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郭锋伟，刘锋锋，钟亮，刘淼淼，张颖，王雪，郜扬，郝军军.腋动脉插管VA-ECMO在救治危重患者中的效果分析[J].中国临床研究,2023,36(10):1555-1558.
郭锋伟，刘锋锋，钟亮，刘淼淼，张颖，王雪，郜扬，郝军军.腋动脉插管VA-ECMO在救治危重患者中的效果分析[J].中国临床研究,2023,36(10):1555-1558.