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胺碘酮输注后发生过敏性休克,导致血流动力学崩溃,需要使用临时心室辅助装置。

Anaphylactic shock after amiodarone infusion resulting in haemodynamic collapse requiring a temporary ventricular assist device.

作者信息

Averin Konstantin, Lorts Angela, Connor Chad

机构信息

Cincinnati Children's Hospital Medical Center,The Heart Institute,Cincinnati,Ohio,United States of America.

出版信息

Cardiol Young. 2015 Jan;25(1):164-6. doi: 10.1017/S1047951113002229. Epub 2013 Dec 18.

Abstract

Acute heart failure related to anaphylactic shock is often reversible and necessitates aggressive support to ensure full recovery. We report the case of a 15-year-old boy who developed severe ventricular dysfunction and haemodynamic instability after administration of amiodarone and required temporary mechanical circulatory support with a left ventricular assist device. He had full recovery of cardiac function and returned to baseline neurologic status. This is the first report of successful left ventricular assist device use for recovery from cardiovascular collapse due to anaphylaxis.

摘要

与过敏性休克相关的急性心力衰竭通常是可逆的,需要积极支持以确保完全康复。我们报告了一例15岁男孩的病例,该男孩在使用胺碘酮后出现严重的心室功能障碍和血流动力学不稳定,需要使用左心室辅助装置进行临时机械循环支持。他的心功能完全恢复,神经状态恢复到基线水平。这是首例成功使用左心室辅助装置使因过敏反应导致的心血管衰竭恢复的报告。

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