高质量CPR联合ECMO成功抢救围术期过敏性休克致心跳骤停患者1例  

High-quality CPR combined with extracorporeal membrane lung oxygenation successfully rescued one patient with cardiac arrest due to anaphylactic shock

作　　者：倪敬美 王平[1] NI Jing-mei;WANG Ping(Sir Run Run Shaw Hospital,Medical College,University Zhejiang 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院麻醉科,浙江杭州310016

出　　处：《医学食疗与健康》2021年第5期193-195,共3页Medical Diet and Health

基　　金：国家自然科学基金委员会青年科学基金项目“巨噬细胞M2型活化在骨髓间充质干细胞治疗急性肺损伤中的机制研究”(编号:81701972)。

摘　　要：过敏性休克严重患者可出现心源性休克、恶性心律失常等严重并发症,进而发生急性心跳骤停,围手术期死亡率较高。浙江大学医学院附属邵逸夫医院麻醉科在手术室内对一名患者进行麻醉诱导后突发心率,血压严重下降,进而发生心跳骤停,手术室内医护迅速进行心肺复苏(CPR),同时积极抗休克、机械通气、器官支持等治疗,并快速建立体外膜肺氧合(ECMO),后恢复心跳,送ICU继续积极治疗后于4天后顺利撤除ECMO及呼吸机,最终救治成功顺利出院,患者无明显并发症。Severe complications such as cardiogenic shock and malignant arrhythmia can occur in patients with severe anaphylactic shock,which can lead to acute cardiac arrest and high perioperative mortality.The Department of Anesthesiology,Shao Yifu Hospital,Zhejiang University School of Medicine,performed an anesthesia induction on a patient in the operating room after a sudden heart rate,blood pressure severely decreased,and then a cardiac arrest occurred.The operating room’s medical care quickly performed cardiopulmonary resuscitation(CPR),and actively resisted shock,Mechanical ventilation,organ support and other treatments,and quickly established extracorporeal membrane lung oxygenation(ECMO),and then resumed heartbeat.After ICU was sent to continue active treatment,ECMO and ventilator were successfully removed after 4 days,and the patient was discharged successfully after treatment.complication.

关 键 词：体外膜肺氧合 高质量CPR 麻醉诱导 急性过敏性休克 心跳骤停 

分 类 号：R725.9[医药卫生—儿科]