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活体肝移植围手术期过敏性休克后成功的体外心肺复苏。

Successful extracorporeal resuscitation after perioperative anaphylactic shock during living donor liver transplantation.

作者信息

Lee Shang-Yi, Chang Che-Chia, Peng Cheng-Ming, Lin Yung-Kai, Cheng Shao-Bin, Shen Ching-Hui

机构信息

Department of Anesthesiology, Taichung Veterans General Hospital, Taichung, Taiwan.

Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.

出版信息

Asian J Surg. 2017 Jul;40(4):317-319. doi: 10.1016/j.asjsur.2014.10.002. Epub 2015 Jan 3.

DOI:10.1016/j.asjsur.2014.10.002
PMID:25560544
Abstract

A 46-year-old man was admitted for emergent donor hepatectomy. His circulatory condition became unstable 75 minutes after induction and then deteriorated to ventricular fibrillation due to latex-induced anaphylaxis. Following 35 minutes of futile conventional resuscitation without spontaneous cardiac rhythm, extracorporeal resuscitation was initiated and electric cardiac activity returned 10 minutes later. He was discharged home without any sequelae. Extracorporeal cardiopulmonary resuscitation would offer an alternative choice compared with conventional cardiopulmonary resuscitation.

摘要

一名46岁男性因紧急供体肝切除术入院。诱导后75分钟,他的循环状况变得不稳定,随后因乳胶诱导的过敏反应恶化为心室颤动。在进行了35分钟徒劳的传统复苏且无自主心律后,开始进行体外复苏,10分钟后恢复了心脏电活动。他出院时没有任何后遗症。与传统心肺复苏相比,体外心肺复苏提供了一种替代选择。

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Anaphylactic shock during living donor hepatectomy: An anaesthesiologist's nightmare and the recipient's too?
活体供肝肝切除术中的过敏性休克:麻醉医生的噩梦,对受者来说也是如此?
Indian J Anaesth. 2022 Feb;66(2):153-154. doi: 10.4103/ija.ija_629_21. Epub 2022 Feb 24.