静脉动脉体外膜肺氧合在心源性休克中的应用

Application of extracorporeal membrane oxygenation in patients with cardiac shock

随着体外膜肺氧合（ECMO）相关技术不断进展，已经成为重症患者救治过程中又一项有力的脏器支持手段。由于静脉动脉体外膜肺氧合（VA-ECMO）可以在床旁实施，更为ICU内心源性休克患者的心肺功能支持提供可能。大量的临床研究表明，VA-ECMO在应用于心源性休克患者中选择好治疗的适应证、手术和撤离时机，并进行科学有效的管理可很好地改善患者的预后。

With the continuous development of extraeorporeal membrane oxygenation （ECMO） technology, it has become a powerful organ support method in the treatment of severe patients. Because ECMO can be performed at the bedside, it is more likely to provide cardiopulmonary support for patients with ICU. A large number of clinical studies have shown that veno - arterial extracorporeal membrane oxygenation （ VA - ECMO） can improve the prognosis of patients with cardiogenic shock by selecting a good indication of treatment, and the timing of surgery and withdrawal and scientific and effective management.