心肺体外膜氧合期间的心包填塞：一例报告。
Cardiac tamponade during venoarterial extracorporeal membrane oxygenation: a case report.
机构信息
Department of Intensive Care, Utrecht University Medical Center, Utrecht, The Netherlands.
ECMO Department, Karolinska University Hospital, Stockholm, Sweden.
出版信息
J Med Case Rep. 2023 Feb 9;17(1):50. doi: 10.1186/s13256-022-03741-9.
BACKGROUND
Cardiac tamponade may present with very different signs and clinical consequences in patients who are supported with venoarterial extracorporeal membrane oxygenation. Failure to recognize cardiac tamponade in this setting can cause failure to wean from venoarterial extracorporeal membrane oxygenation, and even lead to death.
CASE PRESENTATION
We present a 44-year-old Caucasian female in whom cardiac tamponade manifested as venoarterial extracorporeal membrane oxygenation weaning failure. After discovering the contribution of cardiac tamponade, it was possible to wean the patient from venoarterial extracorporeal membrane oxygenation support. No clear signs of cardiac tamponade had existed beforehand.
CONCLUSIONS
The diagnosis of cardiac tamponade can be very challenging in venoarterial extracorporeal membrane oxygenation supported patients due to (patho)physiological particularities related to the parallel blood flow.
背景
在心脉血泵支持的患者中，心脏压塞可能表现出非常不同的体征和临床后果。如果在此情况下未能识别心脏压塞，可能导致无法脱离心脉血泵支持，甚至导致死亡。
病例介绍
我们介绍了一位 44 岁的白人女性，她的心脏压塞表现为脉血泵脱机失败。在发现心脏压塞的作用后，成功地使患者脱离脉血泵支持。在此之前，没有明显的心脏压塞迹象。
结论
由于与并行血流相关的（病理）生理学特殊性，心脏压塞的诊断在心脉血泵支持的患者中可能极具挑战性。
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