体外循环二氧化碳清除技术的临床应用

Clinical application of extracorporeal CO_(2) removal technology

相较于体外膜肺氧合,体外循环二氧化碳清除(ECCO_(2)R)能有效清除体内潴留CO_(2),治疗风险及并发症低,具有相对低创、低技术门槛及低成本的优势。但目前仍有较多研究发现ECCO_(2)R的临床应用存在一定问题,主要包括适用人群及抗凝问题等,限制其临床推广。本文拟对ECCO_(2)R技术的临床应用最新进展作一简述。

Extracorporeal CO_(2)removal(ECCO_(2)R)is an effective treatment for removing CO_(2)in circulation.With lower risk and complications,ECCO_(2)R has the advantages of lower invasiveness,technical requirements and cost compared with extracorporeal membrane oxygenation(ECMO).However,some studies have found that there are problems in the clinical application of ECCO_(2)R,mainly including the applicable population and anticoagulant problems,which limit its clinical promotion.This article aims to review the recent progression of clinical application of ECCO_(2)R technology.