Wu Peipei, Wang Shuai, Gu Qiao, Zhu Ying, Hu Wei, Liu Bingwei
Department of Critical Care Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Front Med (Lausanne). 2023 Feb 8;10:1124863. doi: 10.3389/fmed.2023.1124863. eCollection 2023.
A 50-year-old male presented to the emergency department of a hospital with an acute myocardial infarction who underwent cardiopulmonary resuscitation (CPR) followed by extracorporeal membrane oxygenation (ECMO). The patient developed persistent jaundice during the course of the disease, which was later found to be gangrenous cholecystitis. We believe this case report will alert clinicians to the possibility of this complication and encourage early detection and intervention to improve the prognosis. Traditionally, the gallbladder has received secondary attention in patients receiving ECMO support, as vital organs tend to be prioritized. However, this case report illustrates the importance of preserving gallbladder function in patients receiving ECMO support.
一名50岁男性因急性心肌梗死被送至医院急诊科，接受了心肺复苏（CPR），随后进行了体外膜肺氧合（ECMO）治疗。该患者在病程中出现持续性黄疸，后来发现是坏疽性胆囊炎。我们认为本病例报告将提醒临床医生注意这种并发症的可能性，并鼓励早期发现和干预以改善预后。传统上，在接受ECMO支持的患者中，胆囊受到的关注较少，因为重要器官往往被优先考虑。然而，本病例报告说明了在接受ECMO支持的患者中保留胆囊功能的重要性。
