Wu Mon-Yue, Tsai Feng-Chun
Division of Cardiac Surgery, Chang Gung Memorial Hospital, Taipei, School of Medicine, Chang Gung University, Taiwan.
Chang Gung Med J. 2006 Mar-Apr;29(2):207-11.
In this investigation we report our experience of using extracorporeal life support (ECLS) to resuscitate a 69-year-old woman with critical left main coronary artery disease complicated by acute myocardial infarction and cardiogenic shock. Intra-aortic balloon pump and ECLS were deployed within 45 minutes after the insult to restore the circulatory support while emergent revascularization surgery was performed within 3 hours of the insult. The patient was weaned from ECLS successfully after 52 hours of support and discharged with fully recovered left ventricular function. ECLS is effective in resuscitation of patients with cardiogenic shock. ECLS restored the systemic perfusion rapidly and avoided further injury to the organs, thus, improving the results of the subsequent coronary bypass surgery.
在本研究中，我们报告了使用体外生命支持（ECLS）抢救一名69岁女性的经验，该患者患有严重左主干冠状动脉疾病并伴有急性心肌梗死和心源性休克。在发病后45分钟内启用主动脉内球囊泵和ECLS以恢复循环支持，同时在发病后3小时内进行急诊血运重建手术。在接受52小时的支持后，患者成功脱离ECLS，并在左心室功能完全恢复的情况下出院。ECLS对心源性休克患者的复苏有效。ECLS迅速恢复了全身灌注，避免了器官的进一步损伤，从而改善了后续冠状动脉搭桥手术的效果。
