NGHIÊN CU ÁP DNG K THUU TR BNH NHÂN SUY GIM
CHI CP TI BNH VI HU

Đoàn Đức Hoằng, Trương Tuấn Anh, Lê Nhật Anh, Đặng Thế Uyên
1
,
Lê Quang Thứu, Nguyễn Lương Tấn, Bùi Đức Phú
2,
Huỳnh Văn Minh
3

1
Khoa GMHS Tim 
2

3


SUMMARY
RESEARCH OF ECMO APPLICATION OF TREATEMENT FOR PATIENTS WITH
ACUTE CARDIOPULMONARY FUNCTION FAILURE IN HUE CENTRAL HOSPITAL
Introduction
ECMO (Extra-Corporeal Membrane Oxygenation) is a temporary support of cardio-pulmonary
function under an artificial heart-lung machine. In the world, ECMO was firstly implemented for
children in 1972. The effectiveness of ECMO support was very significant: >90% with respiration
syndrome, 80% with usually pulmonary hypertension, 65% with septic cases, 40% with successful
cases of complicated congenital heart operation, 50% with dilated myocardiopathy.
In Hue Cardiovascular Center, thousands of open heart operation cases have been
successfully done annually for valvular heart disease, coronary artery disease, congenital heart
disease. A few of cases must need a temporary circulatory assistance in order to await the cardiac





- 
OI = (MAP x FiO2 x 100)/PaO2
- 
- 
- 
- 
- 
- 
- 



1.2.1. Tiêu chuẩn chọn bệnh:            

 
1.2.2. Tiêu chuẩn loại trừ: , c



- -


    




12
4.00
700 - 1200
12
4.00
1000 - 1400
14
4.66
1200 - 1700
14
4.66
750 - 1000
15
5.00
1700 - 2000
15
5.00
1000 - 1500
17
5.66
2000 - 2500
17
5.66
1500 - 2000
19
6.33
2500 - 3500
19
6.33
2000 - 2500

®


- 
®

 33
0
C  39
0
C.
- 
®


2
. PCO
2
, SvO
2






D
 

1.6.1. Thiết lập hệ thống ECMO




-   < 18 tháng
+ 2400 ml/m
2

+ 

-  máy: FiO
2
= 0,30; PIP # 15  25 cm H
2
O; PEEP # 5  15 cm H
2
O; F # 10  
- 

- 
2

-  


- 

- 


- 

Ngày sinh:


cao: cm
BSA: m
2

Nhóm máu:

 

CT:

EEG:

Có : / không:

From Date: /

Khí máu:
HA trung bình:

 


HA:


CRP:



Kháng sinh:
Theo dõi:
CVP:

Swan Ganz:

Ngày:


 

2. 




sau ECMO

Sau ECMO

>3 tháng

sau 3 tháng


7
77,78
5
55,56




trung bình 2. 
2.




1
-

-
-

-
1



0

0

3

0




77,78
55,56>3 tháng sau ECMO  



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

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
các 
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


cai ECMO mà nguyên nhân là do tim