Seaton Alister, Hodgson Luke E, Creagh-Brown Ben, Pakavakis Adrian, Wyncoll Duncan LA, Doyle Jf James F
Department of Intensive Care Medicine and Surrey Peri-Operative Anaesthesia and Critical Care Collaborative Research Group, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.
Primary Care and Population Sciences, University of Southampton, Southampton General Hospital, Southampton, UK.
J Intensive Care Soc. 2017 Nov;18(4):342-347. doi: 10.1177/1751143717702155. Epub 2017 Apr 25.
A 59-year-old man was diagnosed with a massive pulmonary embolism. Despite thrombolysis there were two episodes of cardiac arrest and following recovery of spontaneous circulation profound cardiorespiratory failure ensued. An extracorporeal membrane oxygenation retrieval team initiated veno-venous extracorporeal membrane oxygenation on site to facilitate transfer to the extracorporeal membrane oxygenation centre. An excellent outcome is reported in the short term. This represents one of the few published cases of veno-venous extracorporeal membrane oxygenation for a massive pulmonary embolism following thrombolysis.
一名59岁男性被诊断为大面积肺栓塞。尽管进行了溶栓治疗，但仍发生了两次心脏骤停，自主循环恢复后随之出现严重的心源性呼吸衰竭。一个体外膜肺氧合转运团队在现场启动了静脉-静脉体外膜肺氧合，以方便将患者转运至体外膜肺氧合中心。据报道，短期内取得了良好的效果。这是已发表的少数几例溶栓后大面积肺栓塞采用静脉-静脉体外膜肺氧合治疗的病例之一。
