小儿ECMO影像学：正常表现和并发症The radiology of pediatric extracorporeal membrane oxygenation.pptx

The radiology of pediatric extracorporeal membrane oxygenation: Normal appearances and complications小儿ECMO影像学：正常表现和并发症;学习目标;背景;影像学表现;Fig. 1—Chest radiograph of 2-day-old male shows venous cannula with radiopaque tip (arrow) just below level of ninth rib, within right atrium.;;;;;;;;图5：胸片显示两根静脉导管的最佳位置;;图6：胸片显示近端动脉导管位置不正确，导致意外的移位和显著的出血;Fig. 4—Chest radiograph of 1-month-old male shows arterial cannula has distal radiolucent segment. Tip of cannula is gauged by position of radiopaque tip (arrow), which lies approximately at level of aortic arch. Echocardiography (not shown) would confirm position of cannula. There is also kink in upper venous catheter.;Fig. 5—Chest radiograph of 20-month-old female illustrates optimal position of cannula for venovenous extracorporeal membrane oxygenation.;;;;图8：胸片显示扭曲的VV套管;ECMO治疗期间正常放射学表现;;正常表现：白肺;CT;腹部平片;正常表现：肠气少;超声检查的价值;ECMO并发症;并发症;CNS并发症;图11（a）：头颅超声图像显示右额叶局灶性脑实质出血。 图11（b）：头颅超声矢状和冠状位图像显示大面积硬膜下出血;Fig. 8—Coronal cranial sonographic image of 6-week-old female illustrates typical widening of CSF spaces around both frontal lobes (arrows).;;图12：头颅超声图像使用高频线性探头在近场内显示小的硬膜下出血。;;图13（a）：胸片显示纵隔结构右移，左侧血胸肋间引流减压 图13（b）：胸部X光片显示纵隔左移，继发于左肺塌陷。;;图14：超声显示少量胸腔积液，右下叶实变。;;;Fig. 11—Chest radiographs of two infants with pneumothorax. A, 5-week-old male. Image shows spontaneous right-sided tension pneumothorax that occurred during treatment. B, 12-month-old female. Image shows mediastinal free air and left-sided pneumothorax, with thymus gland (arrows) outlined by mediastinal air.;影像学检查方法：;结论