Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Am J Emerg Med. 2013 Nov;31(11):1627.e5-6. doi: 10.1016/j.ajem.2013.06.040. Epub 2013 Sep 20.
Extracorporeal membrane oxygenation support can extend the duration of cardiopulmonary resuscitation (CPR), but prolonged CPR may develop multiple organ failure, and neurologic death is a major complication. We present a case of a 35-year-old woman with fulminant myocarditis secondary to H1N1 influenza A infection, in which cardiac arrest was refractory to prolonged conventional CPR. Extracorporeal membrane oxygenation was initiated 250 minutes after prolonged CPR. Extracorporeal membrane oxygenation provided cardiopulmonary life support for prolonged CPR, achieving a sustained return of spontaneous circulation, which allowed further treatment and made a good recovery with intact cerebral performance.
体外膜肺氧合支持可以延长心肺复苏（CPR）的持续时间，但长时间的 CPR 可能会导致多器官衰竭，而神经死亡是一个主要的并发症。我们报告了 1 例 35 岁女性，因 H1N1 甲型流感感染导致暴发性心肌炎，心脏骤停对长时间的传统 CPR 无反应。在长时间的 CPR 后 250 分钟开始进行体外膜肺氧合。体外膜肺氧合为长时间的 CPR 提供心肺生命支持，实现了自主循环的持续恢复，这使得进一步的治疗成为可能，并在保持大脑功能完好的情况下良好恢复。
