摘要
体外膜氧合(ECMO)作为一种体外生命支持技术在医学领域中展现出强大的生命力,为呼吸循环衰竭患者提供强有力的支持,但在ECMO支持过程中,感染、肾衰竭、出血是最常见的并发症,尤其是感染相关并发症的发生发展直接导致患者住院时间的延长及死亡率增加。本文将综述ECMO期间院内感染流行病学及病原学研究进展,针对感染流行病学及病原学进行描述,汇总感染危险因素,为临床抗菌药物使用及临床治疗策略调整提供合理导向。
Extracorporeal membrane oxygenation(ECMO),as a life support technology,shows strong vitality in the medical field,and provides strong support for patients with respiratory and circulatory failure.However,during the ECMO support process,infection,renal failure and bleeding are the most common complications,especially the occurrence and development of infection-related complications,which can directly lead to prolonged hospital stay and the increase of mortality.This article will review the research progress of epidemiology and etiology of nosocomial infection in ECMO,describe the epidemiology and etiology of infection,summarize the risk factors of infection,and provide reasonable guidance for the use of clinical antibiotics and the adjustment of clinical treatment strategies.
作者
任禹澄
王睿
通耀威
周旺涛
袁鑫
杨自凯
胥天伟
宋云林
Ren Yucheng;Wang Rui;Tong Yaowei;Zhou Wangtao;Yuan Xin;Yang Zikai;Xu Tianwei;Song Yunlin(Department of Intensive Care Unit,The First Affiliated Hospital of Xinjiang Medical University,Xinjiang Urumchi 830054,China)
出处
《中国体外循环杂志》
2024年第2期152-159,共8页
Chinese Journal of Extracorporeal Circulation
基金
自治区卫生与健康适宜技术推广项目(SYTG-202342)。
关键词
体外膜氧合
院内感染
流行病学
病原学
Extracorporeal membrane oxygenation
Nosocomial infection
Epidemiology
Etiology