Zobel G, Dacar D, Rigler B, Berger J, Metzler H
Department of Pediatrics, University of Graz, Austria.
Intensive Care Med. 1994 May;20(5):368-70. doi: 10.1007/BF01720911.
A case report of a 2-year-old boy who developed severe post-operative low cardiac output, sudden cardiac arrest and consecutive multiple organ system failure after open heart surgery is described. Initially the hemodynamic situation was stabilized by extracorporeal membrane oxygenation (ECMO) combined with continuous hemofiltration (CHF) carried out for 7 days. Continuous veno-venous hemofiltration (CVVH) was necessary for further 17 days. One episode of plasmapheresis restored transiently a severe post-operative coagulopathy and enabled the removal of the pulmonary artery catheter and the chest tubes.
本文描述了一名2岁男孩的病例报告，该男孩在心脏直视手术后出现严重的术后低心排血量、心搏骤停及连续性多器官系统功能衰竭。最初，通过体外膜肺氧合（ECMO）联合持续血液滤过（CHF）进行7天，血流动力学状况得以稳定。此后还需要进行17天的持续静-静脉血液滤过（CVVH）。一次血浆置换暂时纠正了严重的术后凝血功能障碍，并使得肺动脉导管和胸管得以拔除。
