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尖端赛多孢菌感染:体外心肺复苏术后的致命并发症。

Scedosporium apiospermum infection: lethal complication after extracorporeal cardiopulmonary resuscitation.

作者信息

Mei Yong, Chen Xufeng, Sun Kai, Lv Jinru, Sun Hao, Zhang Jinsong

机构信息

Department of Emergency, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.

出版信息

Perfusion. 2018 Jan;33(1):71-73. doi: 10.1177/0267659117720493. Epub 2017 Jul 12.

DOI:10.1177/0267659117720493
PMID:28699395
Abstract

In recent years, the development of extracorporeal membrane oxygenation (ECMO) technology has led to its extensive use in clinical practice. In particular, ECMO can play an important role in cardiopulmonary resuscitation (CPR). The American Heart Association CPR guidelines recommend its use in patients with cardiac arrest due to reversible disorders, along with high-quality CPR. This is called extracorporeal cardiopulmonary resuscitation (ECPR). However, it is important to be aware of the possibility of infection-related complications. Here, we report on a patient who suffered a cardiac arrest in hospital and was rescued with ECMO, but who subsequently developed an infection with Scedosporium apiospermum.

摘要

近年来,体外膜肺氧合(ECMO)技术的发展使其在临床实践中得到广泛应用。特别是,ECMO在心肺复苏(CPR)中可发挥重要作用。美国心脏协会心肺复苏指南建议,在因可逆性疾病导致心脏骤停的患者中,结合高质量心肺复苏使用ECMO。这被称为体外心肺复苏(ECPR)。然而,必须意识到感染相关并发症的可能性。在此,我们报告一名在医院发生心脏骤停并通过ECMO抢救成功,但随后感染了波氏假阿利什霉的患者。

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