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成功应用体外膜肺氧合作为医院间急性肺栓塞的桥接治疗。

Successful usage of extracorporeal membrane oxygenation as a bridge therapy for acute pulmonary embolism between hospitals.

作者信息

Hori Daijiro, Tanaka Masashi, Kohinata Toshiyuki, Kimura Chieri, Naito Kazuhiro, Yamaguchi Atsushi, Adachi Hideo

机构信息

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, 330-8503, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2010 Jun;58(6):283-6. doi: 10.1007/s11748-009-0540-z. Epub 2010 Jun 13.

Abstract

A 50-year-old man presented to a nearby hospital with loss of consciousness. Investigation revealed thrombus formation at the tricuspid valve. Due to suspected pulmonary embolism, the patient underwent contrast-enhanced computed tomography during which he went into a shock with sudden drop in functional oxygen saturation (SpO(2)). Extracorporeal membrane oxygenation (ECMO) was introduced for cardiovascular and respiratory support, and he was transferred to our hospital for further treatment. The patient was treated by surgical thromboembolectomy and was dismissed from the hospital without major complications. We have experienced a case where ECMO was successfully used for cardiovascular and respiratory support, serving as a bridge therapy between hospitals.

摘要

一名50岁男性因意识丧失被送往附近医院。检查发现三尖瓣处有血栓形成。由于怀疑有肺栓塞,患者接受了增强计算机断层扫描,在此期间他出现休克,功能氧饱和度(SpO₂)突然下降。于是采用体外膜肺氧合(ECMO)进行心血管和呼吸支持,并将他转至我院进一步治疗。该患者接受了外科血栓切除术治疗,出院时无重大并发症。我们遇到了一例成功使用ECMO进行心血管和呼吸支持的病例,它起到了医院间桥梁治疗的作用。

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