摘要
体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)作为针对循环、呼吸功能衰竭的有效支持技术,近年来在儿童中应用越来越广泛。但使用ECMO支持的患儿脑、肾、胃肠、肢体等组织损伤的发生率仍然较高。ECMO治疗期间,各种传统血流动力学监测方法受到一定限制。近红外光谱(near-infrared spectroscopy,NIRS)技术作为一种无创、实时、连续的监测方法,可以监测局部组织氧饱和度(regional oxygen saturation,rSO_(2))的变化,进而评估组织灌注、代谢及氧供需平衡,成为潜在组织损伤的早期监测指标。本文就NIRS技术在儿童ECMO治疗中的应用现状进行综述,以期为临床通过NIRS技术监测ECMO治疗患儿早期病情变化提供参考。
As an effective support technique for circulatory/respiratory failure,extracorporeal membrane oxygenation(ECMO)has been gaining popularity for children in recent years.However,the incidence of brain,kidney,gastrointestinal tract and extremity damage remains high in ECMO-supported patients.Various traditional hemodynamic monitoring modalities are limited during ECMO support.Near-infrared spectroscopy(NIRS),a non-invasive,real-time and continuous monitoring mode,can monitor the changes of regional oxygen saturation(rSO_(2)),timely assess tissue perfusion,metabolism and oxygen supply and demand balance.It may be employed as a potential early indicator of tissue injury.This review summarized current application status of NIRS during ECMO.Early disease changes of patients may be monitored through NIRS,thereby guiding treatments and improving the outcomes of patients.
作者
王丽
彭卫
Wang Li;Peng Wei(Department of Cardiothoracic Surgery,Children's Hospital of Nanjing Medical University,Nanjing 210019,China)
出处
《临床小儿外科杂志》
CAS
CSCD
北大核心
2024年第6期595-600,共6页
Journal of Clinical Pediatric Surgery
基金
江苏省妇幼保健协会科研项目(FYX202201)
关键词
谱学
近红外线
体外膜氧合作用
血液动力学监测
病人病情
儿童
Spectroscopy,Near-Infrared
Extracorporeal Membrane Oxygenation
Hemodynamic Monitoring
Patient Acuity
Child
