陈杰桓?张伟娜?刘颖培?周芙蓉?姜伟

    【摘要】目的 探討体外膜肺氧合(ECMO)穿刺置管的成功率、并发症及其影响因素。方法 收集行动脉-静脉ECMO病例，分析超声引导经皮穿刺置管成功率以及并发症发生率，同时纳入性别、年龄、心功能[射血分数(EF) 0.05). Conclusions Percutaneous ultrasound-guided ECMO catheterization has a high success rate and safety. For non-ECPR patients and those with target artery diameter of ≥5 mm， percutaneous ultrasound-guided ECMO catheterization is the optimal option. Successful one-time puncture should be guaranteed， which can not only improve the success rate of final puncture and catheterization， but also reduce the incidence of hematoma.

    【Key words】Extracorporeal membrane oxygenation； Puncture and catheterization； Success rate； Complication；?Influencing factor

    体外膜肺氧合(ECMO)现成为救治心力衰竭或呼吸衰竭患者的重要手段，在我国的应用率不断增长 ......