不同情况下成人体外膜肺氧合临床应用专家共识(2020版).pdfVIP

不同情况下成人体外膜肺氧合临床应用专家共识（2020 版） 中国心胸血管麻醉学会，中华医学会麻醉学分会，中国医师协会麻醉学医师分会，中华医学会呼吸 病学分会，中华医学会重症医学分会 摘要 体外膜肺氧合（ECMO）临床上主要用于心脏功能不全和（或 ）呼吸功能不全的支持，是治疗难以控制的严重心力 衰竭和呼吸衰竭的关键技术。随着 ECMO 的跨学科应用，治疗领域不同，涉及的各专业临床医护人员掌握 ECMO 的 水平差异较大；现有的 ECMO 相关研究主要以回顾性队列研究和病例报道为主。本共识由中国心胸血管麻醉学会牵 头组织多学科专家，参考国内外相关疾病诊疗专家共识和指南的基础上，结合我国 ECMO 临床实践，对 ECMO 应用 流程和管理，ECMO 的心脏外科应用，救治暴发性心肌炎、心脏骤停、心肌梗死、急性呼吸窘迫综合征、肺移植， 以及 ECMO 期间的镇静、镇痛管理等方面进行综合制定，供国内相关从业人员参考。 关键词 体外膜肺氧合；心力衰竭；呼吸衰竭；镇静；镇痛 Expert Consensus on the Clinical Application of Adult Extracorporeal Membrane Oxygenation Under Different Conditions (2020 Edition) Chinese Society of Cardiothoracic and Vascular Anesthesiology, Chinese Society of Anesthesiology, Chinese Association of Anesthesiologists, Chinese Thoracic Society, Chinese Society of Critical Care Medicine. Corresponding Author: MIN Su, Email: m163.com Abstract Extracorporeal membrane oxygenation (ECMO) is a key technology for the treatment of severe heart failure and respiratory failure that are difficult to control with conventional strategies. With the interdisciplinary application of ECMO and the use in different treatment fields, the level of ECMO mastery among the involved professional clinical medical staffs varies greatly; the existing ECMO-related studies mainly focus on retrospective cohort studies and case reports. This consensus is initiated by the Chinese Society of Cardiothoracic and Vascular Anesthesiology, discussed and written by multidisciplinary domestic experts, consensus experts referred relevant domestic and foreign consensus and guidelines, summarized experience of domestic ECMO clinical practice, the application process and management of ECMO, the application of ECMO in cardiac surgery, and the treatment of outbreaks comprehensive formulations for myocarditis, cardiac arrest, myocardial infarction, acut