中国体外循环状况调查分析报告

Analysis of Civil Cardiopulmonary Bypass Situation

目的通过对全国开展体外循环的医院进行调查,分析我国体外循环的市场和现状,并对发展提出建议和预测。方法按年度对全国开展心脏手术的医院进行问卷调查,内容包括我国心脏手术的规模、体外循环人员组成,体外循环心脏手术(on-pump)和非体外循环心脏手术(off-pump)的比例,氧合器的使用数量和类型分布等。结果全国心脏手术量已由2003年的76319例增加至2007年的136015例,其中体外循环为113465例,占心脏手术量的83.42%。近5年来手术例数平均每年增长约15%。2007年有41个单位开展体外膜式氧合(extracorporeal membrane oxygenation,ECMO),总数为153例;进口膜式氧合器使用率为46.16%,国产膜式氧合器使用率为23.9%。2007年全国从事体外循环人员1497人,其中医生为795人,占55%;体外循环从业人员均未接受正规专业训练。结论中国心脏手术与体外循环发展快速,体外循环从业人员需接受正规、系统的培训。近年来,体外循环主要使用膜式氧合器,鼓泡式氧合器将逐渐消失。

Objective To analyze the current situation of civil cardiopulmonary bypass, then to give suggestion and prediction for the future of civil cardiopulmonary bypass （CPB）. Methods Civil hospitals carrying out cardiac operations were inquired with questionnaires annually concerning the scope of cardiac operations being carried out, the ratio of on-pump operations and off-pump operations, the situation of extracorporeal membrane oxygenation （ECMO）, the composition of CPB technicians, and oxygenators being utilized, et al. Results 76 319 cases of cardiac operations were performed in 2003, while 136 015 cases of cardiac operations were performed in 2007 （among them 113 465 cases were CPB, account for 83. 42% of cardiac operations）. 41 hospitals carried out 153 cases of extracorporeal membrane oxygenation（ECMO） in 2007. The rate of membrane oxygenator （import） utilization was 46. 16%, and the rate of membrane oxygenator（made in China） utilization was 23.9% in 2007. There were 1 497 persons engaged in of CPB in 2007, and among them 55% were doctors. All the perfusionisters had not been trained normally so far. Conclusion Cardiac surgery and CPB technique make rapid progress in china, so persons engaged in CPB need to be trained normally and systematically. In recent years, more and more membrane oxygenators are utilized, and there is a trend that bubble oxygenators would be abandoned finally.