Horward P, Lambermont B, Defraigne J-O, Gurdebeke C, Morimont P
Service des Urgences, CHU de Liège, Site Sart Tilman, Liège, Belgique.
Unité de Soins Intensifs Médicaux et Cardiologiques, CHU de Liège, Site Sart Tilman, Liège, Belgique.
Rev Med Liege. 2017 Mar;72(3):115-120.
We report the case of a woman with severe beta-blocker poisoning who, after failure of pharmacological therapy, was supported with an ECMO (ExtraCorporeal Membrane Oxygenation) device. We discuss conventional pharmacological treatments and other approaches that have emerged over the past decade such as high dose insulin therapy and lipid emulsions. Major advance has been achieved in the field of ECMO devices and their management. ECMO is now the first line device for refractory acute cardiac and/or pulmonary failure. Finally, we review the role of veno-arterial ECMO in cardiodepressive drug poisoning.
我们报告了一例严重β受体阻滞剂中毒的女性病例，在药物治疗失败后，使用体外膜肺氧合（ECMO）设备进行支持治疗。我们讨论了传统的药物治疗方法以及过去十年中出现的其他方法，如高剂量胰岛素治疗和脂质乳剂。ECMO设备及其管理领域取得了重大进展。ECMO现在是难治性急性心脏和/或肺衰竭的一线设备。最后，我们回顾了静脉-动脉ECMO在心脏抑制性药物中毒中的作用。
