体外心肺复苏的研究进展

The progress of extracorporeal cardiopulmonary resuscitation

目前体外心肺复苏(ECPR)相比传统心肺复苏(CCPR)可以提高院内和院外心脏骤停患者抢救的成功率。各个中心的成功率有差异。ECPR优势主要体现在减少心脏骤停患者的神经系统并发症发生,提高存活出院率。ECPR费用昂贵,资源有限,目前ECPR的适应证尚无统一标准。ECPR对于不同患者的预后不同,应严格把握适应证。ECPR本身仍存在一些技术问题,需要研究者进一步改进。

Although the survival rate reported in each center is different, according to the present studies,compared to conventional cardiopulmonary resuscitation（CCPR）, extracorporeal cardiopulmonary resuscitation（ECPR）can improve the survival rate of cardiac arrest patient, no matter out-of-hospital or in-hospital. The obvious advantage of ECPR is that it can reduce the nervous system complications in the cardiac arrest patients and improve survival rate to hospital discharge. However, ECPR is expensive and without the uniformed indications for implantation. The prognosis for patients with ECPR support is also variant due to the different etiology. If we want to achieve better result, the ECPR technology itself needs to be further improved.