ECMO结合经右侧胸骨旁小切口左心减压治疗心脏术后心肌顿抑1例  

Left ventricular unloading via minimally invasive right parasternal thoracotomy during ECMO in a patient with myocardial stunning after cardiac surgery

作　　者：王炜[1] 潘丽[1] 马麒[2] 张菁[1] 赵启明[3] 李真真[1] 柳德斌[2] 魏万胜[1] WANG Wei;PAN Li;MA Qi;ZHANG Jing;ZHAO Qiming;LI Zhenzhen;LIU Debin;WEI Wansheng(Department of Cardiopulmonary Bypass,Lanzhou University Second Hospital,Lanzhou,730030,China;Department of Cardiac Surgery,Lanzhou University Second Hospital;Department of CICU,Lanzhou University Second Hospital)

机构地区：[1]兰州大学第二医院体外循环科,兰州730030 [2]兰州大学第二医院心外科 [3]兰州大学第二医院CICU

出　　处：《临床心血管病杂志》2020年第11期1066-1068,共3页Journal of Clinical Cardiology

基　　金：甘肃省卫生行业科研计划项目(No:GSWSKY-2015-55);兰州大学第二医院博士科研基金(No:ynbskyjj2015-2-8)。

摘　　要：1病例资料患者,女,66岁,因活动后胸闷、气促伴偶发胸痛10余年入院。否认高血压、糖尿病史。入院体检:体重55kg,身高162cm,脉搏122次/min,血压128/77mmHg(1 mmHg=0.133kPa)。心律不齐,第1心音强弱不等,心前区可闻及Ⅲ/6级收缩期杂音及舒张期隆隆样杂音,肺动脉第2音增强。辅助检查:心脏超声示风湿性心脏瓣膜病,二尖瓣漏斗型狭窄(中-重度)并关闭不全(中度),三尖瓣反流(轻度),左心增大(左房增大为主).Cardiac arrest and cardiogenic shock occurred in a patient with rheumatic valvular heart disease after mitral valve replacement. Cardiac function was recovered and discharged, after extracorporeal membrane pulmonary oxygenation(ECMO) combined with left cardiac decompression via right small sternotomy and continuous hemofiltration(CRRT).

关 键 词：体外膜肺氧合 左心减压 小切口 心肌顿抑 

分 类 号：R654[医药卫生—外科学]