Successful use of a new hand-held ECMO system in cardiopulmonary failure and bleeding shock after thrombolysis in massive post-partal pulmonary embolism
Successful use of a new hand-held ECMO system in cardiopulmonary failure and bleeding shock after thrombolysis in massive post-partal pulmonary embolism
复制标题
DOI：
10.1177/0267659109106295
复制
发表时间：
2009-01-01
期刊：
影响因子：
1.2
通讯作者：
Graf, B. M.
中科院分区：
文献类型：
--
作者：
Arlt, M.;Philipp, A.;Graf, B. M.
大规模肺栓塞 (PE) 会导致心源性休克，死亡率高达 75%。(1) 我们报告了一位 27 岁的分娩母亲在产后出现大规模肺栓塞和心脏骤停的情况。尽管进行了机械复苏，但仍无法实现自主循环（ROSC）的恢复。全身溶栓后，ROSC恢复，但心肺衰竭持续存在，并发大出血休克。通过使用新开发的手持式 ECMO 系统，可以恢复全身血流和氧合，并可以为高级手术治疗（子宫切除术和肺栓塞切除术）提供紧急医疗服务。病人完全康复了。我们假设这种新开发的手持式 ECMO 设备能够快速启动机械生命支持，并改善致命情况下患者的预后。灌注 (2009) 24, 49-50。
Massive pulmonary embolism (PE) leads to cardiogenic shock and is associated with mortality rates of up to 75%.(1) We report on a 27-year-old mother in childbirth who developed a massive post-partal PE and cardiac arrest. Despite mechanical resuscitation, return of spontaneous circulation (ROSC) could not be achieved. After systemic thrombolysis, ROSC returned, but cardiopulmonary failure was persisting, complicated by massive bleeding shock. By using a newly developed, hand-held ECMO system, systemic blood flow and oxygenation were restored and emergency medical services for advanced surgical treatment (hysterectomy and pulmonary embolectomy) were possible. The patient recovered completely. We assume that this newly developed hand-held ECMO device enables rapid onset mechanical life support and improves the prognosis of patients in fatal conditions. Perfusion (2009) 24, 49-50.