术后肺动脉出血导致严重心源性循环休克状态时的机械循环支持。

Mechanical circulatory support for profound cardiac circulatory shock status due to postoperative pulmonary artery bleeding.

作者信息

Huang S-C, Ko W-J, Han Y-Y, Chen Y-S, Wang S-S, Lee Y-C

机构信息

Department of Surgery, National Taiwan University Hospital, National Taiwan University School of Medicine, Taipei, Taiwan.

出版信息

Thorac Cardiovasc Surg. 2006 Apr;54(3):214-5. doi: 10.1055/s-2005-873064.

DOI:10.1055/s-2005-873064

PMID:16639688

Abstract

A 77-year-old patient suffering from life-threatening pulmonary artery bleeding after pulmonary lobectomy was resuscitated but had refractory cardiogenic shock after the bleeding was controlled. We used mechanical circulatory support with extracorporeal membrane oxygenation and intra-aortic balloon pump to overcome the hemorrhagic shock-related cardiac suppression and multi-organ injury in the post-resuscitation critical period.

摘要

一名77岁患者在肺叶切除术后出现危及生命的肺动脉出血，经抢救恢复自主循环，但出血控制后发生难治性心源性休克。我们采用体外膜肺氧合和主动脉内球囊反搏进行机械循环支持，以克服复苏后关键时期与失血性休克相关的心脏抑制和多器官损伤。