小児体外循環Extracorporeal Circulation in Children
東京女子医科大学心臓血管外科学講座Department of Cardiovascular Surgery, Division of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women’s Medical University
体外循環とは,人工的にポンプ等により体外へ血液を導出し,血液の回路を通して酸素化,浄化等の血液操作を行い,再び体内へ血液を戻す一連の動作を体外循環と呼ぶ.今回は,人工心肺(cardiopulmonary bypass: CPB),体外膜型酸素付加装置(extracorporeal membrane oxygenation: ECMO)を中心に小児領域における体外循環について特に,CPB,ECMOの構成,体外循環の病理,体外循環の合併症について解説する.
The extracorporeal circulation is defined as a process where blood is drawn from the body and treated before it is returned to the body again. Usually through this procedure, it substitutes an organ’s function during the circulation outside the body. In this article, the basics of pediatric cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenation (ECMO) is explained especially about the component of the circuit, pathology and complication.
Key words: extracorporeal circulation; cardiopulmonary bypass; extracorporeal membrane oxygenation; cardioplegia
© 2016 特定非営利活動法人日本小児循環器学会© 2016 Japanese Society of Pediatric Cardiology and Cardiac Surgery
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This page was last modified on 2016-09-28T20:01:43.208+09:00
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