论文部分内容阅读
目的探讨经皮穿刺插管快速建立急诊体外循环(ECPB)心肺复苏(CPR)的方法与疗效。方法自行研制经皮穿刺体外循环插管及鼓泡式氧合器、动脉滤器、泵管、管道连接的一体化无菌密闭系统。先将15只犬随机分为有搏动经皮穿刺插管组(A组)5只,无搏动经皮穿刺插管组(B组)5只,无搏动切开插管组(C组)5只。通过动物实验探讨经皮穿刺插管方法建立急诊体外循环的可行性及对心肺复苏的影响。后将6例心脏停搏常规复苏8min无效患者进行床边经皮穿刺急诊体外循环方法的研究及对心肺复苏疗效的观察。结果无论在动物或人体上均快速建立了ECPB,使CPR的自主循环恢复率(ROSC)显著提高。结论经皮穿刺周围大血管插管能快速建立急诊体外循环,使CPR的ROSC显著提高。
Objective To investigate the method and efficacy of rapid percutaneous puncture (ECPB) cardiopulmonary resuscitation (CPR). Methods Self-developed percutaneous puncture cardiopulmonary bypass intubation and bubble oxygenator, arterial filters, pump tubes, pipe connections, integrated sterile airtight system. Fifteen dogs were randomly divided into 5 groups: pulsatile percutaneous intubation group (group A), 5 non-pulsatile percutaneous catheter group (group B) and no pulsatile incision intubation group (group C) only. To discuss the feasibility of establishing percutaneous cardiopulmonary bypass by percutaneous catheterization through animal experiments and its influence on cardiopulmonary resuscitation. 6 cases of cardiac arrest conventional recovery 8min ineffective bedside percutaneous puncture emergency cardiopulmonary bypass method and the observation of the efficacy of cardiopulmonary resuscitation. Results ECPB was rapidly established both in animals and humans, resulting in a significant increase in spontaneous circulation recovery (ROSC) of CPR. Conclusion Percutaneous puncture of the large blood vessels around the percutaneous puncture can rapidly establish the cardiopulmonary bypass and make ROSR of CPR significantly increase.