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糖尿病母亲婴儿的肥厚性梗阻性心肌病:体外膜肺氧合支持及β-肾上腺素能阻滞剂治疗与增加静脉补液

Hypertrophic obstructive cardiomyopathy in an infant of a diabetic mother: support by extracorporeal membrane oxygenation and treatment with beta-adrenergic blockade and increased intravenous fluid administration.

作者信息

Robinson B, Eshaghpour E, Ewing S, Baumgart S

机构信息

Section of Pediatric Cardiology, MCP-Hahnemann School of Medicine and St. Christopher's Hospital for Children, Philadelphia, Pennsylvania 19134, USA.

出版信息

ASAIO J. 1998 Nov-Dec;44(6):845-7.

PMID:9831096
Abstract

In infants with hypertrophic obstructive cardiomyopathy (HOCM) on extracorporeal membrane oxygenation (ECMO), conventional treatment with inotropes, fluid restriction, and diuretics may be detrimental. This case reports an infant of a diabetic mother with HOCM on ECMO illustrating beneficial effects of beta adrenergic blockade and increased fluid administration.

摘要

对于接受体外膜肺氧合(ECMO)治疗的肥厚性梗阻性心肌病(HOCM)婴儿,使用正性肌力药物、限制液体摄入和利尿剂的传统治疗可能有害。本病例报告了一名患有HOCM的糖尿病母亲的婴儿在接受ECMO治疗时,显示出β肾上腺素能阻滞剂和增加液体输注的有益效果。

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