体外膜肺氧合在1例潜在心死亡供者院间转运中的应用

Inter-hospital transport of a potential donor after cardiac death requiring extracorporeal membrane oxygenation support

目的探讨体外膜肺氧合技术用于潜在心死亡供体院间转运的可行性及效果。方法回顾性分析1例潜在心死亡供者由院外转运至广州军区总医院进行器官获取过程中体外膜肺氧合应用情况。结果 1例脑外伤后中枢性循环衰竭患者,在体外膜肺氧合辅助下,通过救护车转运,转运里程约120km,体外膜肺氧合运转时间158分钟,转运过程循环稳定,到达目的医院后,按心死亡流程实施了器官捐献。结论体外膜肺氧合可以为循环衰竭的潜在心死亡供者进行院间转运,提供有效的循环辅助。

Objective To discuss the feasibility and effect of extracorporeal membrane oxygenation(ECMO) during inter-hospital transport of potential donors after cardiac death(DCD). Methods The clinical data of one case of inter-hospital transport of potential donors after cardiac death requiring extracorporeal membrane oxygenation support were analyzed retrospectively. Results A potential donor was performed inter-hospital with central circulatory collapse caused by brain injury. The patient was previously cannulated on ECMO prior to transport and transported a distance of about 120 kilometer to our institution by ambulance. ECMO running times were 158 minutes, and operation process circulatory stable,organ donation process is implemented by cardiac death processes in General Hospital of Guangzhou Military Command. Conclusion ECMO can ensure inter-hospital transport of potential donors after cardiac death safety.