Tarmiz Amine, Mgarrech Imene, Kortas Chokri, Jerbi Sofiane
Department of Cardiovascular and Thoracic Surgery, Sahloul University Hospital, Sousse, Tunisia.
Case Rep Crit Care. 2017;2017:8073989. doi: 10.1155/2017/8073989. Epub 2017 Apr 27.
. The occurrence of a cardiogenic shock is a rare presentation after scorpion envenomation. The treatment includes classically the use of inotropes and specific vasodilators. . We report a case of an 11-year-old boy presenting with cardiogenic shock and pulmonary edema after a scorpion sting. Despite adequate management at the emergency department and intensive care unit, the patient's hemodynamic status worsened rapidly, justifying his transfer to our department for ventricular mechanical assistance by venoarterial extracorporeal membrane oxygenation. The following outcomes were favorable and the boy was discharged home on day 29 without aftereffects. . This is the first report of successful use of extracorporeal membrane oxygenation for the treatment of cardiogenic shock after scorpion envenomation.
心源性休克是蝎子蜇伤后罕见的表现。治疗通常包括使用强心剂和特定的血管扩张剂。我们报告一例11岁男孩，蝎子蜇伤后出现心源性休克和肺水肿。尽管在急诊科和重症监护病房进行了适当治疗，患者的血流动力学状态仍迅速恶化，因此将其转至我科，通过静脉-动脉体外膜肺氧合进行心室机械辅助。随后结果良好，该男孩于第29天出院，无后遗症。这是首次成功使用体外膜肺氧合治疗蝎子蜇伤后心源性休克的报告。
