体外膜肺氧合应用下救治创伤致三尖瓣脱垂并房间隔穿孔  

Application of ECMO in the treatment of tricuspid valve prolapse with atrial septal perforation caused by trauma:a case report

作　　者：郑倩伟 陈洁[2] 甘宇[2] 曹卫东 郭素峡 蔡立华[2] 沈利汉[2] ZHENG Qian-wei;CHENJie;GAN Yu;CAO Wei-dong;GUO Su-xia;CAI Li-hua;SHEN Li-han(Medical University of Guangdong,Zhanjiang,Guangdong 524000,China;Department of Critical Care Medicine,People′s Hospital of Dongguan,Dongguan,Guangdong 523059,China;Department of Cardiothoracic Surgery,People′s Hospital of Dongguan,Dongguan,Guangdong 523059,China;Department of Cardiology,People′s Hospital of Dongguan,Dongguan,Guangdong 523059,China)

机构地区：[1]广东医科大学,广东湛江524000 [2]东莞市人民医院重症医学科,广东东莞523059 [3]东莞市人民医院心胸外科,广东东莞523059 [4]东莞市人民医院心内科,广东东莞523059

出　　处：《岭南现代临床外科》2020年第6期729-731,共3页Lingnan Modern Clinics in Surgery

基　　金：东莞市社会科技发展(重点)项目(2018507150011645)。

摘　　要：体外膜肺氧合(ECMO)在救治严重心肺功能衰竭患者中已显示出独特优势,应用日益广泛,但在急诊创伤患者中,因出血风险大,限制其应用。近期,我院成功应用ECMO救治一例车祸致心脏三尖瓣脱垂合并房间隔穿孔的危重患者,预后良好,现回顾病例并结合文献总结诊疗经验及方案。Extracorporeal membrane oxygenation(ECMO)has shown unique advantages in the treat⁃ment of patients with severe cardiopulmonary failure,and it has been used more and more widely,but in emergency trauma patients,its application is limited because of the high risk of bleeding.Recently,our hospital successfully used ECMO to treat a critically ill patient with tricuspid valve prolapse complicated with atrial septal perforation caused by a car accident,and the prognosis is good.Now review the cases and summarize the experience and plan of diagnosis and treatment combined with the literature.

关 键 词：体外膜肺氧合 创伤 低氧血症 

分 类 号：R605.97[医药卫生—急诊医学]