Varnholt V, Lasch P, Kachel W, Teufel M, Suske G, Liedgens P, Haas N, Wirth H
Kinderklinik, Universitätsklinikum Mannheim.
Monatsschr Kinderheilkd. 1993 May;141(5):405-8.
Main indication for extracorporeal membrane oxygenation (ECMO) is respiratory failure in the newborn. Less frequently ECMO is used for cardiac support. We report on a 4 months old boy, who suddenly fell ill with an acute viral myocarditis and heart failure (left-ventricular shortening fraction lowered to 17%). After failure of conventional management and resuscitation (twice) due to asystolic, veno-arterial ECMO was installed for a total time of 4 days. Under ECMO there was complete recovery of left-ventricular function; the infant was discharged 1 month after admission to hospital. ECMO-therapy should not only be considered in children with respiratory failure, but also in those with potentially reversible cardiac failure.
体外膜肺氧合（ECMO）的主要适应证是新生儿呼吸衰竭。ECMO用于心脏支持的情况较少见。我们报告了一名4个月大的男孩，他突然患上急性病毒性心肌炎和心力衰竭（左心室缩短分数降至17%）。由于心搏停止，常规治疗和复苏（两次）失败后，安装了静脉-动脉ECMO，总共使用了4天。在ECMO支持下，左心室功能完全恢复；婴儿入院1个月后出院。ECMO治疗不仅应在呼吸衰竭的儿童中考虑，也应在那些可能可逆的心力衰竭儿童中考虑。
