Wu I H, Ko W J, Chou N K, Chao A, Lin F Y
Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
J Formos Med Assoc. 1998 May;97(5):364-6.
We report a 31-year-old woman with acute myocarditis who was transferred to our hospital because of rapidly progressive cardiogenic shock unresponsive to infusion of high doses of inotropic agents and intraaortic balloon pump support. Upon arrival at our hospital, extracorporeal membrane oxygenation (ECMO) was immediately established through a right femoral venoarterial route by percutaneous cannulation; the blood flow of ECMO was maintained at around 2,100 mL/min. Shock-induced rhabdomyolysis complicated with acute renal failure occurred. During treatment with ECMO and hemodialysis, the patient gradually recovered cardiac and renal function. The patient was maintained on ECMO for 90 hours then successfully weaned from the machine without major complications. Our experience suggests that ECMO can be used for temporary mechanical circulatory support in patients with cardiogenic shock due to acute myocarditis.
我们报告一名31岁患有急性心肌炎的女性，因其对大剂量强心剂输注和主动脉内球囊泵支持无反应的快速进行性心源性休克而被转至我院。到达我院后，立即通过经皮穿刺经右股静脉-动脉途径建立体外膜肺氧合（ECMO）；ECMO的血流量维持在约2100 mL/分钟。发生了休克诱导的横纹肌溶解症并伴有急性肾衰竭。在ECMO和血液透析治疗期间，患者的心脏和肾功能逐渐恢复。患者接受ECMO治疗90小时，然后成功撤机，无重大并发症。我们的经验表明，ECMO可用于因急性心肌炎导致心源性休克患者的临时机械循环支持。
