体外膜肺氧合（ECMO）插管刺激颈动脉窦导致1例新冠肺炎患者出现心动过缓性停搏
Extracorporeal Membrane Oxygenation (ECMO) Cannula Stimulation of the Carotid Sinus Causing Bradycardic Pauses in a Patient With COVID-19.
作者信息
Dayco John, Pawloski Justin, Sokolowski Caleb, Patel Dhruvil, Rits Micheal, Goodrich Grace, Erdem Saliha, Alraies M Chadi
机构信息
Internal Medicine, Wayne State University Detroit Medical Center, Detroit, USA.
Internal Medicine, Wayne State University School of Medicine, Detroit, USA.
出版信息
Cureus. 2023 Apr 16;15(4):e37652. doi: 10.7759/cureus.37652. eCollection 2023 Apr.
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) cannulation is a potential cause of episodic bradycardia during an intensive care course because of the proximal cannula insertion site being in the vicinity of the carotid sinus. Herein, we report the case of episodic bradycardia throughout a multi-week intensive care stay of a VV-ECMO recipient due to a severe coronavirus disease 2019 (COVID-19) infection that did not emerge for the rest of the patient's hospitalization after decannulation.
静脉-静脉体外膜肺氧合（VV-ECMO）插管是重症监护过程中偶发性心动过缓的一个潜在原因，因为近端插管插入部位靠近颈动脉窦。在此，我们报告一例因严重的2019冠状病毒病（COVID-19）感染而在VV-ECMO接受者长达数周的重症监护期间出现偶发性心动过缓的病例，该心动过缓在拔管后患者住院的剩余时间未再出现。
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