摘要
目的探讨“体外膜肺氧合-主动脉气囊反搏-亚低温（ECMO-IABP—MH）”联合应用模式在心肺脑复苏（CPCR）中的应用价值，以期待为CPCR提供一种新的高级生命支持方法。方法为1例心源性猝死患者在抢救中实施体外循环膜肺氧合技术与主动脉球囊反搏技术联合亚低温支持，经一侧股动脉植入IABP，另一侧股动、静脉植入ECMO，经ECMO管路实施34℃亚低温治疗。结果在IABP与ECMO联合辅助34h时后逐渐降低ECMO流量后停机，IABP继续辅助94h后撤除；患者神经系统无损伤、各脏器功能良好痊愈出院。结论“ECMO—IABP—MH”复苏模式在CPCR过程中实施方便有效，为CPCR提供一种新的高级生命支持方法。
Objective To explore the effect of extracorporeal membrane oxygenation and intra-aortic balloon pump（IABP） combined with mild hypothermia （ECMO-IABP-MH） in cardiopulmonary-cerebral resuscitation （CPCR）. Methods A patient, female, aged 34, suffering from cardiogenic shock with cardiac arrest with the underlying disease of fulminant myocarditis, underwent cardiopulmonary-cerebral resuscitation. After the recovery of heartbeat, an IABP was implanted into her right femoral artery and a Medtronic adult ECMO pack into the left femoral artery and vein respectively, and then mild hypothermia at the temperature of 34℃was performed via the ECMO pipeline. Results The volume of flow in the ECMO pack was gradually reduced and 34 hours after ECMO-IABP-MH the ECMO pack was shut down while IABP continued to function until 94 hours later. The patient was cured and discharged with no damage in either the nervous system or other organs. Conclusion Convenient and effective in the implementation of CPCR, the ECMO-IABP-MH resuscitation mode provides a new method of advanced life support for CPCR.
出处
《中国急救复苏与灾害医学杂志》
2009年第7期460-462,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
天津市科委计划课题（06YFSZSF01500）
关键词
体外膜肺氧合
主动脉球囊反搏
亚低温
心肺脑复苏
Extracorporeal membrane oxygenation （ECMO）
Intra-aortic balloon pump
Mild hypothermia
Cardiopul- monary-cerebral resuscitation （CPCR）
作者简介
赵成秀，本科，医师
通讯作者：李彤，E-mail：litongtJ@163．com
