ECMO治疗成人严重ARDS的系统性评价_-肖贞良报告范本.ppt

ECMO治疗成人严重ARDS的系统性评价 成都军区总医院ICU 肖贞良 问题的提出 ARDS的治疗 Management of predisposing factors. Improvement of ventilation and oxygen delivery. Control of systemic inflammation response. Surfactant Replacement Therapy Inhaled Nitric Oxide Negative fluid balance. Nutrition. ARDS通气策略 Lung-Protective Ventilation low-tidal-volume, pressure limited ventilation： VT6-8ml/kg,Pplat 32 cm H2O. Open-Lung Strategy Positive End-Expiratory Pressure Sigh The prone position Inverse-ratio Ventilation (IRV) High-Frequency Oscillatory Ventilation ECMO技术始于上世纪70年代。1972年，Hill等首先报道了1例成人多脏器损伤合