体外膜肺氧合联合主动脉内球囊反搏紧急救治急性大面积心肌梗死并发心脏骤停一例及文献复习

Extracorporeal membrane oxygenation combined with intra-aortic balloon pump for the emergency treatment of cardiac arrest following large areas of acute myocardial infarction: a case report and literature review

心肌梗死是临床常见的心血管疾病,具有发病率高、预后差特点。研究表明,合并严重心脏并发症是影响心肌梗死患者预后的重要因素。心脏骤停是心肌梗死的严重并发症之一,目前对其临床救治手段少,治疗效果差,死亡率高。本文报到运用体外膜肺氧合(ECMO)联合主动脉内球囊反搏(IABP)成功救治急性大面积心肌梗死并发心脏骤停患者1例,以期研究结果可为心肌梗死并发心脏骤停等心脏病重症患者的临床救治提供借鉴。

Myocardial infarction is a common cardiovascular disease characterized by a high incidence and a poor prognosis. Studies have shown that the severe cardiac complications are associated with the prognosis of myocardial infarction, and cardiac arrest is one of the serious complications. At present, there are limited treatment approaches for cardiac arrest, and these patients are associated with a poor prognosis and a high mortality. This article presented a case: appling extracorporeal membrane oxygenation(ECMO) and intra-aortic balloon pump(IABP) to successfully treat a patient with cardiac arrest following the large areas of acute myocardial infarction, so as to provide a reliable reference for patients with severe heart disease such as myocardial infarction complicated with cardiac arrest.