体外膜肺氧合应用下救治创伤致三尖瓣脱垂并房间隔穿孔

Application of ECMO in the treatment of tricuspid valve prolapse with atrial septal perforation caused by trauma:a case report

体外膜肺氧合(ECMO)在救治严重心肺功能衰竭患者中已显示出独特优势,应用日益广泛,但在急诊创伤患者中,因出血风险大,限制其应用。近期,我院成功应用ECMO救治一例车祸致心脏三尖瓣脱垂合并房间隔穿孔的危重患者,预后良好,现回顾病例并结合文献总结诊疗经验及方案。

Extracorporeal membrane oxygenation(ECMO)has shown unique advantages in the treat⁃ment of patients with severe cardiopulmonary failure,and it has been used more and more widely,but in emergency trauma patients,its application is limited because of the high risk of bleeding.Recently,our hospital successfully used ECMO to treat a critically ill patient with tricuspid valve prolapse complicated with atrial septal perforation caused by a car accident,and the prognosis is good.Now review the cases and summarize the experience and plan of diagnosis and treatment combined with the literature.