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钆喷酸葡胺致心脏骤停 1 例报告:应用体外膜肺氧合复苏。

A case report of gadopentetate dimeglumine-induced cardiac arrest: Resuscitation using extracorporeal membrane oxygenation.

机构信息

Department of Critical Care Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, China.

Department of Laboratory Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, China.

出版信息

Ann Noninvasive Electrocardiol. 2023 May;28(3):e13039. doi: 10.1111/anec.13039. Epub 2023 Feb 3.

Abstract

Gadopentetate dimeglumine (Gd-DTPA) is commonly used for enhancement in magnetic resonance imaging, but rarely causes serious adverse reactions. The patient presented in this report had a cardiac arrest and multiple organ dysfunction syndrome within a short time after administration of Gd-DTPA. Immediately after receiving an intravenous injection of Gd-DTPA, the patient felt nausea and chest tightness, and developed systemic erythema. He was successfully treated using veno-arterial extracorporeal membrane oxygenation (ECMO) combined with continuous renal replacement therapy without any serious complications or neurological deficits. We report a patient who was successfully treated for Gd-DTPA-induced cardiac arrest with ECMO. Thus, ECMO may be an effective treatment for cardiac arrest secondary to anaphylaxis.

摘要

钆喷替酸葡甲胺(Gd-DTPA)常用于磁共振成像增强,但很少引起严重不良反应。本报告中的患者在给予 Gd-DTPA 后短时间内出现心脏骤停和多器官功能障碍综合征。在给予 Gd-DTPA 静脉注射后,患者立即感到恶心和胸闷,并出现全身红斑。患者使用静脉-动脉体外膜肺氧合(ECMO)联合持续肾脏替代治疗成功治疗,无严重并发症或神经功能缺损。我们报告了一例使用 ECMO 成功治疗 Gd-DTPA 诱导的心脏骤停的患者。因此,ECMO 可能是治疗过敏反应引起的心脏骤停的有效方法。

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