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体外膜肺氧合在暴发性心肌炎治疗中的临床应用

Clinical Application of Extracorporeal Membrane Oxygenation in the Treatment of Fulminant Myocarditis.

作者信息

Fan Zhijun, Wen Junlin, Li Binfei, Liao Xiaozu

机构信息

The First Clinical Medical College, Guangdong Medical University, 524002 Zhanjiang, Guangdong, China.

Department of Anesthesiology, Zhongshan City People's Hospital, 528403 Zhongshan, Guangdong, China.

出版信息

Rev Cardiovasc Med. 2024 Mar 26;25(4):114. doi: 10.31083/j.rcm2504114. eCollection 2024 Apr.

Abstract

Fulminant myocarditis (FM) is a rare but serious clinical syndrome which can be characterized by the rapid deterioration of cardiac function, with cardiogenic shock (CS) and arrhythmic electrical storms being common presentations, often requiring adjunctive support with mechanical circulatory devices. With the development of mechanical circulatory support (MCS) devices, there are now more and more studies investigating the application of MCS in FM patients, and the use of extracorporeal membrane oxygenation (ECMO) to treat FM has shown good survival rates. This review elucidates the treatment of FM, and the application and clinical outcomes associated with ECMO intervention.

摘要

暴发性心肌炎(FM)是一种罕见但严重的临床综合征,其特征为心功能迅速恶化,常表现为心源性休克(CS)和心律失常性电风暴,通常需要机械循环装置的辅助支持。随着机械循环支持(MCS)设备的发展,现在有越来越多的研究探讨MCS在FM患者中的应用,并且使用体外膜肺氧合(ECMO)治疗FM已显示出良好的生存率。本综述阐述了FM的治疗方法以及与ECMO干预相关的应用和临床结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f26/11264031/d8ea4a0b2d54/2153-8174-25-4-114-g1.jpg

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