体外膜肺氧合(体外膜肺氧合(ECMO)的临床应用的临床应用1 中国心脏外科急需登上的两个台阶心脏移植辅助循环2 辅助循环的步骤CPBIABPECMO人工心脏3 ECMO的作用用钱向上帝买时间4 for lung 1.support:O2 supply&CO2 removal 2.rest:reduce ventilator induced lung injury 5for heart support:improve systemic perfusion rest:catecholamine myocardial work decrease preload requirement and congestion6缺血坏死心肌的分类和特性缺血坏死心肌的分类和特性7 8HeartTransplantn5-7%of HTxnNo.1 mortality in the first monthnEtiology:mismatch pulmonary hypertension(RV failure)Myocardial stunning Myocardial apotosis9CPBCPB与与ECMO