ECM技术ICU王培栋课件.pptVIP

* * 供体（心、肺） 原发性肺高压 受体（心、肺） 供体（心） 复杂先心ECMO无效 受体（心） 天外有天 ECMO pECMO 经皮静脉插管房间隔打孔 AALA bridge to XP: Hoopes, 2009 清醒 ECMO Rudich SM, et al, Transplantation, 2002 ECS assisted DCD 成人双腔引流灌注管 ADP tPA heparin thrombomodulin NO ADP PGI2 tissue plasminogen activator Endothelial Cell Non-thrombogenic Endothelium thrombin Collagen Tissue Factor Fibronectin PAF cytokines Quiescent Platelet prostaglandin I2 nitric oxide thrombin platelet activating factor platelet activating inhibitor PAI-1 protein S PS TFPI Effect of Nitric Oxide on Platelets Direct Effects: directly binds to guany