CAJ | 학술논문

目的探讨体外膜肺氧合技术用于潜在心死亡供体院间转运的可行性及效果。方法回顾性分析1例潜在心死亡供者由院外转运至广州军区总医院进行器官获取过程中体外膜肺氧合应用情况。结果1例脑外伤后中枢性循环衰竭患者，在体外膜肺氧合辅助下，通过救护车转运，转运里程约120 km，体外膜肺氧合运转时间158分钟，转运过程循环稳定，到达目的医院后，按心死亡流程实施了器官捐献。结论体外膜肺氧合可以为循环衰竭的潜在心死亡供者进行院间转运，提供有效的循环辅助。
목적탐토체외막폐양합기술용우잠재심사망공체원간전운적가행성급효과。방법회고성분석1례잠재심사망공자유원외전운지엄주군구총의원진행기관획취과정중체외막폐양합응용정황。결과1례뇌외상후중추성순배쇠갈환자，재체외막폐양합보조하，통과구호차전운，전운리정약120 km，체외막폐양합운전시간158분종，전운과정순배은정，도체목적의원후，안심사망류정실시료기관연헌。결론체외막폐양합가이위순배쇠갈적잠재심사망공자진행원간전운，제공유효적순배보조。
Objective To discuss the feasibility and effect of extracorporeal membrane oxygenation(ECMO) during inter-hospital transport of potential donors after cardiac death(DCD). Methods The clinical data of one case of inter-hospital transport of potential donors after cardiac death requiring extracorporeal membrane oxygenation support were analyzed retrospectively. Results A potential donor was performed inter-hospital with central circulatory collapse caused by brain injury. The patient was previously cannulated on ECMO prior to transport and transported a distance of about 120 kilometer to our institution by ambulance. ECMO running times were 158 minutes, and operation process circulatory stable,organ donation process is implemented by cardiac death processes in General Hospital of Guangzhou Military Command. Conclusion ECMO can ensure inter-hospital transport of potential donors after cardiac death safety.