临时起搏器联合ECMO串联CRRT成功救治儿童重症暴发性心肌炎1例

A case of successful treatment of fulminant myocarditis in children with temparary pacemaker combined with ECMO and CRRT

暴发性心肌炎(Fulminant Myocarditis,FM)是心肌炎的一种急危重症,临床上少见,早期临床表现不典型,易出现严重的心律失常,若不及时救治,患者可能在数小时至数天内死于心功能衰竭。本文讨论成功救治1例儿童重症暴发性心肌炎,结果表明ECMO、临时起搏器、CRRT、腹膜透析、呼吸支持在重症暴发性心肌炎合理使用是关键的治疗手段。

Fulminant Myocarditis (FM) is a kind of acute and severe myocarditis, it is rare in clinic, the early clinical manifestation is not typical, it is easy to appear serious arrhythmia, if it is not treated in time.Patients may die of heart failure within hours to days. A case of severe fulminant myocarditis in children was successfully treated. The results showed that ECMO,temporary pacemaker, CRRT, peritoneal dialysis and respiratory support were the key methods in the treatment of severe fulminant myocarditis.