自新冠肺炎疫情暴发以来,体外膜肺氧合作为一种高级生命支持技术,在危重症患者的救治过程中发挥了巨大的作用。虽然该技术在我国发展起步较晚,自主品牌及核心技术缺乏,但经过沉淀与积累,目前在临床应用层面,我国与国际已逐渐接轨,在设备研发层面,国内已有团队及企业取得可喜的突破。本文从体外膜肺氧合技术的临床应用场景及现状、核心技术及壁垒、发展趋势等角度,梳理了在此次新冠肺炎疫情背景下,我国体外膜肺氧合技术的发展现状。最后提出我国ECMO应顺应趋势,形成以ECMO应用区域中心为主并辐射周围地区的诊疗模式,通过普及ECMO应用指征,建立良好沟通机制及转诊网络,增加ECMO技术的受益患者。
<<Since the outbreak of novel coronavirus pneumonia in December,2019,the Extracorporeal Membrane Oxygenation (ECMO),as an advanced form of life support mechanism,has played a vital role in the treatment of critical patients and has been attracting sustained attention thereof. Along with the improvement of technological development and the enhancement of capacity for medical payment by patients,the past few years has witnessed the tremendous increase in the number of clinical application cases and that of clinical institutions capable of carrying out ECMO therapy,and the investment in R&D and technology input for ECMO has been increasing accordingly. The significant role of ECMO during the outbreak of NCIP has made the government and enterprises realize the importance of domestic development of ECMO industry independently. Despite of the late-start of ECMO industry,weakness in brand image,and lack of core technologies in China,the therapy level of ECMO clinical application in China is being geared to international standards after years of technology accumulation,and domestic R&D teams and enterprises have achieved tremendous breakthrough in ECMO equipment R&D. This paper will analyze the clinical application status of ECMO in China during NCIP from the following perspectives such as clinical application scenarios and application status of ECMO technology,the application of ECMO during NCIP,the core technologies and its barriers,and technology development trends. Moreover,the prospects for future development will be outlined.
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