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一名胸部刺伤青年男性的体外膜肺氧合抢救治疗

Rescue extracorporeal membrane oxygenation in a young man with a stab wound in the chest.

作者信息

Gatti Giuseppe, Forti Gabriella, Bologna Alessandro, Sagrati Gianfranco, Gustin Gianfranco, Korcova Renata, Benci Elisabetta, Visintin Luca

机构信息

Department of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy.

Department of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy.

出版信息

Injury. 2014 Sep;45(9):1509-11. doi: 10.1016/j.injury.2014.06.008. Epub 2014 Jun 18.

Abstract

A 27-year-old man with haemorrhagic shock and acute cardiac tamponade due to a stab in the chest underwent successful resuscitation and surgical repair of the right ventricular perforation thanks to the use of extracorporeal membrane oxygenation (ECMO) in the emergency department. To the best of the authors' knowledge, this is the first report around the use of ECMO to rescue a victim of a penetrating cardiac trauma. The physicians who have portable ECMO device should be aware of this option when a life-threatening internal bleeding in haemodynamically unstable patients could be quickly controlled by surgery, even if performed in ill-suited settings.

摘要

一名27岁男性因胸部刺伤导致出血性休克和急性心脏压塞,在急诊科使用体外膜肺氧合(ECMO)后成功复苏,并对右心室穿孔进行了手术修复。据作者所知,这是第一例关于使用ECMO抢救穿透性心脏创伤患者的报告。当血流动力学不稳定的患者出现危及生命的内出血,且可通过手术迅速控制时,即使是在不太合适的环境中进行,配备便携式ECMO设备的医生也应知晓这一选择。

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