Walker Gregor M, McLeod Karen, Brown Katherine L, Franklin Orla, Goldman Alan P, Davis Carl
Department of Pediatric Surgery, Royal Hospital for Sick Children, Glasgow, UK.
Pediatr Crit Care Med. 2003 Jan;4(1):52-4. doi: 10.1097/00130478-200301000-00010.
There have been few reports of the use of extracorporeal life support (ECLS) to provide cardiac support in children with low cardiac output as a result of arrhythmias. We present two patients in whom venoarterial ECLS was used to provide support for cardiogenic shock secondary to intractable supraventricular tachycardia. In both cases, the arrhythmia terminated once bypass was established. In one case, the time on ECLS was used to optimize drug treatment, and in the other case, radiofrequency ablation was successfully undertaken during ECLS.
关于使用体外生命支持(ECLS)为因心律失常导致心输出量低的儿童提供心脏支持的报道很少。我们介绍了两名患者,他们使用静脉-动脉ECLS为顽固性室上性心动过速继发的心源性休克提供支持。在这两个病例中,一旦建立体外循环,心律失常就终止了。在一个病例中,使用ECLS的时间来优化药物治疗,在另一个病例中,在ECLS期间成功进行了射频消融。