Aoki K, Watanabe M, Ohzeki H
Department of Cardiovascular Surgery, Niigata Prefectural Shibata Hospital, Shibata, Japan.
Kyobu Geka. 2008 Nov;61(12):1015-8.
We used percutaneous cardiopulmonary support (PCPS) and beating heart hemostasis with a balloon technique to resuscitate an 80-year-old woman who had been stabbed in the chest with pruning shears. She developed pulseless tamponade while waiting for surgery. Resuscitative thoracotomy was impossible in the emergency room due to the lack of appropriate equipment. We therefore decided to immediately resuscitate her using PCPS. Life-support circulation was established within 13 minutes and provided a stable period before surgery. The stab wound in the right ventricle was temporarily controlled with a urinary balloon catheter placed through the defect, and was repaired on the heart continued to beat She recovered from the fatal event without neurological impairment. PCPS is generally contraindicated for traumatic cases because of bleeding complications. However, it plays an important role as a life-saving procedure when emergency room thoracotomy is impossible.
我们采用经皮心肺支持（PCPS）及用球囊技术在心脏跳动下止血，成功救治了一名被修枝剪刺伤胸部的80岁女性。她在等待手术期间出现了无脉性心包填塞。由于缺乏合适的设备，在急诊室无法进行复苏性开胸手术。因此，我们决定立即使用PCPS对她进行复苏。在13分钟内建立了维持生命的循环，并在手术前提供了一段稳定期。通过经缺损处放置的尿管球囊导管暂时控制了右心室的刺伤，并在心脏持续跳动的情况下进行了修复。她从这一致命事件中康复，且没有神经功能障碍。由于出血并发症，PCPS通常在创伤病例中被视为禁忌。然而，当急诊室开胸手术无法进行时，它作为一种挽救生命的操作发挥着重要作用。
