Augustin Simon L, Horton Stephen, Thuys Clarke, Bennett Martin, Claessen Catie, Brizard Christian
Cardiac Surgical Unit, Royal Children's Hospital, Victoria, Australia.
Perfusion. 2006 Mar;21(2):121-5. doi: 10.1191/0267659106pf850oa.
A 13-year-old girl presented to the emergency department with fatigue, headaches and muscle stiffness after returning from a family camping trip. Within 24 h, she was transferred to ICU with general oedema and low saturations, where she had a cardio-respiratory arrest and was placed on veno-arterial extracorporeal membrane oxygenation (ECMO). The patient was successfully supported with ECMO for profound myocardial dysfunction and haemofiltration for rhabdomyolysis and acute renal failure. Patients who present with profound myocardial dysfunction and myoglobinuria as a consequence of viral infection can be successfully supported with ECMO.
一名13岁女孩在家庭露营旅行归来后，因疲劳、头痛和肌肉僵硬前往急诊科就诊。24小时内，她因全身水肿和低血氧饱和度被转入重症监护病房（ICU），在那里她发生了心肺骤停，并接受了静脉-动脉体外膜肺氧合（ECMO）治疗。该患者因严重心肌功能障碍接受了ECMO成功支持治疗，并因横纹肌溶解症和急性肾衰竭接受了血液滤过治疗。因病毒感染导致严重心肌功能障碍和肌红蛋白尿的患者可以通过ECMO得到成功支持治疗。
