ID 原文 译文
1147 1）PaO2/FiO2<80mmHg（不论PEEP水平）； (1) PaO2/FiO2 < 80 mmHg (regardless of what the PEEP level is);
1148 2）Pplat≤30，PaCO2>55mmHg； (2) Ppl at ≤ 30 mmHg, PaCO2 > 55 mmHg;
1149 3）出现气胸，漏气量>1/3潮气量，持续时间>48h； (3) The onset of pneumothorax, air leakage > 1/3 tidal volume, duration > 48 h;
1150 4）循环恶化，去甲肾上腺素剂量>1μg/(kg×min)； (4) Circulation deterioration, the dosage of norepinephrine > 1 μg/(kg×min);
1151 5）心肺复苏进行体外生命支持ECPR。 (5) Cardio-pulmonary resuscitation in vitro life support ECPR.
1152 1.2替代性ECMO 1.2 Replacement ECMO
1153 对病情评估认为患者不适合长时间进行机械通气维持，无法达到预期目标，立即采用ECMO方式进行替代，出现以下情况之一，应该考虑进行ECMO替代： When the patient is not suitable for long-term mechanical ventilation support, i.e., the patient is not able to obtain the expected result s, ECMO Replacement needs to be adopted immediately. With the onset of one of the following conditions, ECMO Replacement needs to be considered.
1154 1）肺顺应性减退，采用肺复张干预方法后，呼吸系统顺应性<10mL/cmH2O； (1) Decreased lung compliance. After the pulmonary recruitment maneuver, the compliance of the Respiratory system < 10 mL/cmH2O;
1155 2）纵膈气肿或者皮下气肿持续加重，并且预期48h内无法降低机械通气支持参数； (2) Persistent exacerbation of pneumomediastinum or subcutaneous emphysema. And the parameters of mechanical ventilation support cannot be reduced within 48 h, according to the estimation;
1156 3）PaO2/FiO2<100mmHg，采用常规方法72h无法改善。 (3) PaO2/FiO2 < 100 mmHg. And it cannot be improved by routine methods in 72 h.