Fox H, Seeger F H, Schmitt J, Potente M, Dzemali O, Fichtlscherer S, Ehrlich J R
Zentrum der Inneren Medizin, Medizinische Klinik III Kardiologie/Nephrologie/Angiologie, Klinikum der Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland.
Med Klin Intensivmed Notfmed. 2012 Apr;107(3):206-12. doi: 10.1007/s00063-011-0064-z. Epub 2012 Jan 12.
We report a case of a 37-year-old patient presenting with fulminant cardiogenic shock, almost noncontractile ventricles, followed by electromechanical dissociation. During performance of cardiopulmonary resuscitation, a veno-arterial extracorporeal membrane oxygenation device (VA ECMO) was implanted, which became necessary for 13 days. Subsequently, a total arrest of ventricular function was observed and prominent multiple organ failure emerged. A rapid test for respiratory syncytial virus was positive, supporting the suspected diagnosis of myocarditis. Despite numerous complications, complete recovery was achieved.
我们报告了一例37岁患者，其表现为暴发性心源性休克，心室几乎无收缩功能，随后出现电机械分离。在进行心肺复苏期间，植入了静脉-动脉体外膜肺氧合装置（VA ECMO），该装置使用了13天。随后，观察到心室功能完全停止，并出现明显的多器官功能衰竭。呼吸道合胞病毒快速检测呈阳性，支持心肌炎的疑似诊断。尽管出现了许多并发症，但患者仍实现了完全康复。
