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体外膜肺氧合在严重持续性低温导致的难治性心脏骤停患者中的应用:2例病例报告及文献综述

Use of Extracorporeal Membrane Oxygenation in Patients with Refractory Cardiac Arrest due to Severe Persistent Hypothermia: About 2 Case Reports and a Review of the Literature.

作者信息

Attou Rachid, Redant Sébastien, Preseau Thierry, Mottart Kevin, Chebli Louis, Honore Patrick M, De Bels David, Gallerani Andrea

机构信息

Department of Intensive Care Medicine, Brugmann University Hospital, Brussels, Belgium.

Emergency Department, Brugmann University Hospital, Brussels, Belgium.

出版信息

Case Rep Emerg Med. 2021 Nov 5;2021:5538904. doi: 10.1155/2021/5538904. eCollection 2021.

Abstract

We report the cases of two patients experiencing persistent severe hypothermia. They were 45 and 30 years old and had a witnessed cardiac arrest managed with mechanized cardiopulmonary resuscitation (CPR) for 4 and 2.5 hours, respectively. Extracorporeal membrane oxygenation was used in both patients who fully recovered without any neurological sequelae. These two cases illustrate the important role of extracorporeal CPR (eCPR) in persistent severe hypothermia leading to cardiac arrest.

摘要

我们报告了两名持续性严重体温过低患者的病例。他们分别为45岁和30岁,均发生了心搏骤停且被目击,分别接受了4小时和2.5小时的机械心肺复苏(CPR)。两名患者均使用了体外膜肺氧合,且均完全康复,没有任何神经后遗症。这两个病例说明了体外心肺复苏(eCPR)在导致心搏骤停的持续性严重体温过低中所起的重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eecd/8589490/4e39af596a9f/CRIEM2021-5538904.001.jpg

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