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一种治疗危重新生儿埃布斯坦畸形的新方法:采用静脉-静脉体外膜肺氧合促进右心室恢复。

A novel approach to the management of critically ill neonatal Ebstein's anomaly: Veno-venous extracorporeal membrane oxygenation to promote right ventricular recovery.

作者信息

Bauser-Heaton Holly, Nguyen Charles, Tacy Theresa, Axelrod David

机构信息

Department of Pediatric Cardiology, Lucile Packard Children's Hospital at Stanford University, Palo Alto, California, United States.

出版信息

Ann Pediatr Cardiol. 2015 Jan-Apr;8(1):67-70. doi: 10.4103/0974-2069.149527.

Abstract

This is the first report of the use of veno-venous extracorporeal membrane oxygenation in a neonate with severe Ebstein's anomaly. The report suggests the use of veno-venous extracorporeal membrane oxygenation in the immediate neonatal period may be a useful therapy in severe Ebstein's anomaly. By providing adequate oxygenation independent of the patient's native pulmonary blood flow, veno-venous extracorporeal membrane oxygenation allows the pulmonary vascular resistance to decrease and may promote right ventricular recovery.

摘要

这是关于在一名患有严重埃布斯坦畸形的新生儿中使用静脉-静脉体外膜肺氧合的首次报告。该报告表明,在新生儿早期使用静脉-静脉体外膜肺氧合可能是治疗严重埃布斯坦畸形的一种有效疗法。通过独立于患者自身肺血流提供充足的氧合,静脉-静脉体外膜肺氧合可使肺血管阻力降低,并可能促进右心室恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19eb/4322407/d209585b64df/APC-8-67-g001.jpg

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