ID 原文 译文
1157 1.3早期清醒ECMO 1.3 Early Awake ECMO
1158 部分患者经过评估，使用机械通气预期高参数维持时间>7d，且符合清醒ECMO的必要条件，可能从中获益，需要符合以下所有标准： Early awake ECMO can be applied to patients who have been supported by mechanical ventilation with the expected high parameters for more than 7 days and who meet the necessary conditions of awake ECMO. They might benefit from it. All the following conditions must be met:
1159 1）患者意识清醒，有充分的配合度，能够理解ECMO运行的方式和维护要求； (1) The patient is in a clear state of consciousness and is fully compliant. He or she understands how ECMO works and its maintenance requirements;
1160 2）没有合并神经肌肉疾病； (2) The patient is not complicated with neuromuscular diseases;
1161 3）肺部损伤评分Murry>2.5分； (3) Pulmonary damage score Murry > 2.5;
1162 4）肺部分泌物不多，人工辅助吸引间隔>4h； (4) Few pulmonary secretions. The time interval between the two airway suction procedures > 4 h;
1163 5）血流动力学稳定，无需血管活性药物辅助。 (5) Stable hemodynamics. Vasoactive agents are not required for assistance.
1164 置管方式 Cathetering Methods
1165 COVID-19多数ECMO维持时间>7d，应该尽量采用seldinger方法超声 引导下外周置管，减少切开置管带来的出血损伤与感染风险，尤其对于早期清醒ECMO的患者。 Because the ECMO supporting time for most COVID-19 patients is greater than 7 days, the seldinger method should be used as much as possible for the ultrasound guided peripheral catheter insertion, which reduces the bleeding damages and infection risks brought about by intravascular cathterization by venous angiotomy, especially for the early awake ECMO patients.
1166 血管条件差，无法通过超声方法判断选择合适插管的患者，或者seldinger方法失败的患者才考虑进行切开置管。 Intravascular catheterization by venous angiotomy may be considered only for the patients with bad blood vessel conditions, or the patients whose catheterization cannot be identified and selected by ultrasound, or the patients whose seldinger technique failed.