关键词:

肺移植 , 体外膜肺氧合技术 , 腋动脉插管

Abstract:

Objective To summarize the application and management of ECMO in 9 patients with lungtransplantation during perioperative period. Methods The data of ECMO assisted lungtransplantation patients who have been hospitalized in the thoracic surgery Department of Thoracic Surgery of the First Affiliated Hospital of Xi'an Jiaotong University since October 2022 were collected，and theirclinical characteristics and managementexperience were retrospectively analyzed.Results Of the9 patients，6 received VA-ECMO，2receivedVV-ECMO，and1 receivedVAV-ECMO. The VA intubation method is the axillary artery femoral vein method，the VV intubation method is the femoral vein internal jugular vein method，and the VAV intubation method is the femoral vein internal jugular vein ascending aorta intubation method. The main complications were hemorrhage and renal injury，and most of them were successfully removedfrom the machine. Conclusion ECMO technology is a safe and effective support tool during the perioperative period of lung transplantation，and its circulation and intubation methods，removal timing，complications management，and other issues need to be carefully managed. 

Key words:

 , Lung transplantation, Extracorporeal membrane oxygenation technique, Axillary artery cannula ,