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体外膜肺氧合抢救围产期暴发性心肌病

Fulminant peripartum cardiomyopathy rescue with extracorporeal membranous oxygenation.

作者信息

Smith I J, Gillham M J

机构信息

Department of Cardiothoracic, Auckland City Hospital, Grafton, Auckland, New Zealand.

出版信息

Int J Obstet Anesth. 2009 Apr;18(2):186-8. doi: 10.1016/j.ijoa.2008.11.007. Epub 2009 Feb 5.

Abstract

We report the successful use of extracorporeal membranous oxygenation in a previously healthy parturient with fulminant peripartum cardiomyopathy. Native cardiac function recovered rapidly, with weaning from extracorporeal membranous oxygenation after only 68 h. This case highlights the potential of this lifesaving treatment, in appropriately selected patients, where death seems inevitable. No major complications of extracorporeal membranous oxygenation occurred in this patient.

摘要

我们报告了成功地对一名既往健康、患有暴发性围产期心肌病的产妇使用体外膜肺氧合的情况。患者自身心脏功能迅速恢复,仅在68小时后就撤掉了体外膜肺氧合。该病例凸显了这种挽救生命的治疗方法在适当选择的、看似不可避免会死亡的患者中的潜力。该患者未发生体外膜肺氧合的重大并发症。

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