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在一个婴儿的长期体外膜氧化管理的一个案例与subxiphoid方法

Ryosuke Nakai¹, Norihisa Miyashita¹, Akihiko Higashida²

¹Center for Pediatric Critical Care Medicine, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.

|February 16, 2026

概括

在接受静脉-静脉外体膜氧化 (VV-ECMO) 的婴儿中,用于管的子xiphoid方法提供了一个最小侵入性的选择. 这种技术成功地管理了一名需要长时间VV-ECMO的儿科患者,没有并发症.

科学领域:

儿科重症监护医药儿科重症监护医药
心肺支技术的使用.
最少侵入性的外科手术技术.

背景情况:

静脉-静脉外体膜氧化 (VV-ECMO) 对婴儿呼吸衰竭至关重要.
选择一个合适的管部位对于婴儿的VV-ECMO成功至关重要.
传统的方法可能需要切下骨,在儿科患者中存在风险.

研究的目的:

对婴儿的VV-ECMO进行子管管方法的可行性和安全性进行评估.
描述用于静脉 - 动脉 - 静脉 (V-AV) ECMO转换的亚静脉管技术.
用这种方法展示一个成功的长期VV-ECMO管理的案例.

主要方法:

一个病例报告详细介绍了9个月大的女孩的呼吸衰竭需要ECMO的管理.
从静脉动脉ECMO过渡到V-AVECMO,通过子体方法.
将一个14 Fr的排水置于下腔静脉中,通过一个小的子体切口.

主要成果:

在长期VV-ECMO期间,通过子体方法成功管理并保持足够的血液流动.
在ECMO疗程期间没有报告任何不良事件.
潜体方法促进了转换到VV-ECMO,而无需进行胸腔切除术.

结论:

潜体方法是婴儿ECMO管的可行和安全选择.
这种微创的技术使得小孩子的管尺寸足够大.
它为VV-ECMO转换提供了一个可行的替代方案,避免了胸腔切除术.

关键词:

在ECMO转换转换.V-AV ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO V-AV ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO ECMO 身体外膜氧化氧化儿科重症监护室的重症监护室这种方法是subxiphoid的方法.

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