清醒VA-ECMO联合心脏临时起搏及无创机械通气治疗暴发性心肌炎1例  

A case of fulminant myocarditis treated with awake VA-ECMO and temporary cardiac pacing and non-invasive mechanical ventilation

作　　者：熊盟 唐中建 舒艾娅 罗艳[1] XIONG Meng;TANG Zhongjian;SHU Aiya;LUO Yan(Department of Intensive Care Unit,Chongqing University Fuling Hospital,Chongqing,408000,China)

机构地区：[1]重庆大学附属涪陵医院重症医学科,重庆408000

出　　处：《临床急诊杂志》2022年第8期596-602,共7页Journal of Clinical Emergency

基　　金：重庆市区域医学重点学科建设(No:zdxk201811)。

摘　　要：心肌炎是指各种原因引起的心肌炎性损伤所导致的心脏功能受损,包括收缩、舒张功能减低和心律失常,暴发性心肌炎是最为严重和特殊的类型,对于血流动力学不稳定的患者推荐尽早使用体外膜肺氧合(ECMO)进行治疗,而清醒ECMO则是近年来提出的一种新的ECMO管理策略,其特殊性与管理有别于常规ECMO,目前不能常规开展,现报道应用清醒静脉-动脉ECMO(VA-ECMO)成功救治1例暴发性心肌炎患者。Myocarditis refers to the various causes of impaired myocardial inflammatory damage caused by the heart,including shrinkage,diastolic function and cardiac arrhythmias,and fulminant myocarditis is the most serious and special type.Patients with hemodynamic instability were recommended to receive ECMO treatment as soon as possible.And alert ECMO is put forward in recent years as a new kind of ECMO management strategy.Its particularity and management are different from that of conventional ECMO,and it cannot be carried out routinely at present.This paper reports a case of fulminant myocarditis successfully treated by conscious VA-ECMO.

关 键 词：清醒VA-ECMO 暴发性心肌炎 

分 类 号：R542.21[医药卫生—心血管疾病]