新型 pH1N1 病毒性心肌炎需行静脉-静脉体外膜肺氧合治疗。
Novel pH1N1 viral cardiomyopathy requiring veno-venous extracorporeal membrane oxygenation.
机构信息
Divisions of Pediatric Cardiac Surgery, Seattle Children's Hospital, Seattle, WA, USA.
出版信息
Pediatr Crit Care Med. 2010 Nov;11(6):714-7. doi: 10.1097/PCC.0b013e3181e327c9.
OBJECTIVE
To report a case of pH1N1 viral infection presenting as heart failure requiring mechanical extracorporeal life support.
DESIGN
Case report.
SETTING
Pediatric intensive care unit at a regional children's hospital.
PATIENT
Obese 15-yr-old boy who presented with pH1N1-related cardiomyopathy and respiratory failure that required extracorporeal membrane oxygenation.
INTERVENTIONS
Extracorporeal membrane oxygenation, echocardiography, high-frequency oscillating ventilation.
MEASUREMENTS AND MAIN RESULTS
Discovery of severe dilated cardiomyopathy and respiratory failure.
CONCLUSIONS
Patients with pH1N1 may present in profound heart failure in addition to respiratory failure. Extracorporeal membrane oxygenation may play an important role in managing these complex patients.
目的
报告 1 例 pH1N1 病毒感染导致心力衰竭，需要机械体外生命支持的病例。
设计
病例报告。
地点
地区儿童医院儿科重症监护病房。
患者
肥胖的 15 岁男孩，因 pH1N1 相关心肌炎和呼吸衰竭需要体外膜氧合。
干预措施
体外膜氧合、超声心动图、高频振荡通气。
测量和主要结果
发现严重扩张型心肌病和呼吸衰竭。
结论
pH1N1 患者除呼吸衰竭外，还可能出现严重心力衰竭。体外膜氧合可能在治疗这些复杂患者中发挥重要作用。
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