Extracorporeal cardiopulmonary resuscitation (ECPR) refers to the use of extracorporeal membrane oxygenation (ECMO) to ensure the perfusion of important organs after the traditional cardiopulmonary resuscitation (CCPR) has not obtained the return of spontaneous circulation (ROSC). Such cardiopulmonary resuscitation (CPR) is called ECPR. ECPR can benefit some patients with cardiac arrest, however, there are still some problems and puzzles in the implementation of ECPR, such as the implementation location of ECPR patients? Select mechanical press or manual press before ECPR start? Can ECPR be used in special patients, such as traumatic cardiac arrest (TCA), aortic dissection and immunosuppressed patients? The age limit of ECPR and the ethical issues related to ECPR. Based on the research status at home and abroad, this paper analyzes and expounds these problems, hoping to provide new ideas for the research and application of ECPR by the majority of domestic colleagues engaged in cardiopulmonary resuscitation.
体外心肺复苏（ECPR）是指在传统心肺复苏（CCPR）未恢复自主循环（ROSC）后使用体外膜肺氧合（ECMO）来保证重要脏器的灌注，此种心肺复苏（CPR）称为ECPR。ECPR能使部分心脏骤停患者受益，但在具体实施中仍然存在一些争议和困惑，如ECPR患者的实施地点，ECPR启动前选择机械按压还是人工按压？ECPR在特殊患者中的应用，创伤性心脏骤停（TCA）、主动脉夹层以及免疫抑制的患者中能否应用？ECPR的年龄限制问题和相关的伦理问题等，本文将根据国内外研究现状对这些问题进行分析阐述，希望能为国内广大从事CPR的同道对ECPR的研究和应用提供新思路。.