Attach great importance to the role of extracorporeal membrane oxygenation in the rescue of severe cardiopulmonary trauma / 中华创伤杂志

ABSTRACT

The principle of early treatment for severe cardiopulmonary trauma is to correct respiratory and circulatory insufficiency, especially for the type of injury caused by various types of trauma such as severe alveolar oxygen exchange dysfunction, intrapulmonary hemorrhage, massive pulmonary atelectasis and extensive subendocardial hemorrhage. Conventional treatment is not effective, and the timely use of cardiopulmonary replacement function of extracorporeal membrane oxygenation (ECMO) can better overcome this problem. ECMO is a life-support technology for patients with severe cardiopulmonary insufficiency, which can partially replace the functions of heart pumping and lung oxygenation for a longer period of time so as to creat opportunities for waiting for organ function recovery and providing bridging therapy. The author discusses the mechanism of action and clinical application of ECMO and the application, deficiencies and countermeasures of ECMO in severe cardiopulmonary trauma so as to provide some theoretical and practical references for improving the quality and process of ECMO treatment.