心肺复苏病人ECMO应用与血气分析指标改善效果观察
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刘利红，肖芹，韦剑璐
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柳州市人民医院，广西柳州，545000
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摘要：目的 探讨体外膜肺氧合(ECMO)在心肺复苏患者中的应用效果及其对血气分析指标的改善作用。方法 回顾性分析2023 年02 月至2024 年12 月期间，我院收治的50 例心肺复苏并接受ECMO 治疗的患者资料，随机分为对照组和治疗组各25 例。对照组采用常规心肺复苏护理方法，治疗组在对照组基础上增加ECMO 辅助。结果 ECMO 治疗后，治疗组患者的动脉血氧分压(PaO??)显著提升，由(55.23±6.78)mmHg 升至(92.78±6.98)mmHg；动脉血二氧化碳分压(PaCO??)显著降低，由(35.21±2.15)降至(34.23±2.21)；乳酸清除率显著提高，三个时间点分别为(65.32±10.45)%、(82.14±7.65)%、(90.56±5.32)%；血流动力学稳定性整体上也相似，均高于对照组。结论 ECMO 在心肺复苏患者中的应用能显著改善血气分析指标，提高治疗效果，为临床治疗提供了新的策略。
关健词：心肺复苏；体外膜肺氧合；血气分析；乳酸清除率；治疗效果
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Observation on the Effect of ECMO Application and Blood Gas Analysis Indicators in Cardiopulmonary Resuscitation Patients
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Lihong Liu,Qin Xiao&Jianlu Wei
Liuzhou People's Hospital,Liuzhou, Guangxi 545000，China
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Abstract: Objective Exploring the application effect of extracorporeal membrane oxygenation (ECMO) in patients undergoing cardiopulmonary resuscitation and its improvement effect on blood gas analysis indicators. Methods a retrospective analysis was conducted on the data of 50 patients who underwent cardiopulmonary resuscitation and ECMO treatment in our hospital from February 2023 to December 2024. They were randomly divided into a control group and a treatment group, with 25 patients in each group. The control group received conventional cardiopulmonary resuscitation nursing methods, while the treatment group received ECMO assistance in addition to the control group. Results after ECMO treatment, the arterial partial pressure of oxygen (PaO ?) in the treatment group significantly increased from (55.23 ± 6.78) mmHg to (92.78 ± 6.98) mmHg; The arterial partial pressure of carbon dioxide (PaCO ?) significantly decreased from (35.21 ± 2.15) to (34.23 ± 2.21); The lactate clearance rate significantly increased at three time points, which were (65.32 ± 10.45)%, (82.14 ± 7.65)%, and (90.56 ± 5.32)%, respectively; The overall hemodynamic stability is also similar, both higher than the control group. Conclusion the application of ECMO in patients undergoing cardiopulmonary resuscitation can significantly improve blood gas analysis indicators, enhance treatment efficacy, and provide new strategies for clinical treatment.
Keywords : Cardiopulmonary resuscitation; Extracorporeal membrane oxygenation; Blood gas analysis; Lactate clearance rate;therapeutic effect
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