体外生命支持系统在小儿急重症的应用

Extracorporeal life support system for emergency and serious disease in children

体外生命支持可以维持心、肺、肝、肾功能以及增加脑供血、降低颅内压，对儿童急重症合并多脏器功能衰竭有不可替代的作用，为原发病治疗赢得时间，能降低儿童急危重症病死率和后遗症的发生率。本文介绍了体外生命支持在儿科急重症中的适应证、病理生理机制及时机。

Extracorporeal life support system （ELSS） can maintain the heart,lung,liver,kidney function and increased cerebral blood supply and reduce intracranial pressure. In addition, for children with emergency and serious disease combined multiple organ failure （MOF）, ECLS has an irreplaceable role in gaining time for the treatment of protopathy, which can ultimately reduce mortality and sequelae for children with emergency and serious disease. This review briefly summarizes the indication,pathophysiology and timing of ECLS in pediatric emergency and serious disease.