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ECMO联合CVVH替代治疗爆发性心肌炎一例 被引量：9

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摘要 急性爆发性心肌炎病情进展迅速,常在较短时间内出现心功能失代偿和循环呼吸衰竭,不及时救治患者可能在数小时至数天内死于泵功能衰竭[1].体外膜肺氧合（EC MO）是一种有效的心肺支持手段,可使患者心肺充分休息,其中V-A ECMO可同时支持呼吸和循环功能,为爆发性心肌炎患者提供足够的氧供和有效的循环支持,显著降低其病死率.本文报道采用ECMO联合CVVH替代治疗成功抢救1例爆发性心肌炎伴多脏器功能不全患者,现报道如下.
作者 孙仁华 呼邦传 陈敏华 洪军 徐良 李恒杰 吴爱萍
机构地区 浙江省人民医院ICU
出处 《中华急诊医学杂志》 CAS CSCD 北大核心 2014年第4期445-448,共4页 Chinese Journal of Emergency Medicine
基金 浙江省中医药优秀青年人才基金计划（2012ZQ004）
关键词 爆发性心肌炎 ECMO 替代治疗 CVVH 多脏器功能不全 循环呼吸衰竭 心功能失代偿 体外膜肺氧合
分类号 R542.21 [医药卫生—心血管疾病]
  • 相关文献

参考文献7

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二级参考文献5

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共引文献7

同被引文献39

  • 1贾丽芳,史振伟,王质刚.体外膜肺联合血液滤过治疗肺肾衰竭的实验研究[J].中华肾脏病杂志,2007,23(8):510-514. 被引量：12
  • 2HSU K H,CHI N H,YU H Y,et al.Extracorporeal membranous oxygenation support for acute fulminant myocarditis:analysis of a single center's experience[J].Eur J Cardiothorac Surg,2011,40:682-688.
  • 3WANG Q,PAN W,SHEN L,et al.Clinical features and prognosis in Chinese patients with acute fulminant myocarditis[J].Acta Cardiol,2012,67:571-576.
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  • 7MIRABEL M,LUYT C E,LEPRINCE P,et al.Outcomes,long-term quality of life,and psychologic assessment of fulminant myocarditis patients rescued by mechanical circulatory support[J].Crit Care Med,2011,39:1029-1035.
  • 8KASS M,MOON M,VO M,et al.Awake extracorporeal membrane oxygenation for very high-risk coronary angioplasty[J].Can J Cardiol,2015,31:227-230.
  • 9SOMMER W,MARSCH G,KAUFELD T,et al.Cardiac Awake Extracorporeal Life Support-Bridge to Decision?[J].Artif Organs,2015,16:222-225.
  • 10WOODRUFF J F.Viral myocarditis.A review[J].Am J Pathol,1980,101:425-484.

引证文献9

二级引证文献49

中华急诊医学杂志
2014年 第4期

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