体外膜肺氧合结合血液灌流辅助乌头碱中毒的抢救：病例报告。

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Perfusion-Uk Pub Date : 2025-05-01 Epub Date: 2024-08-28 DOI:10.1177/02676591241280163

Zhiwen Zhao, Zhicheng Fang

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引用次数: 0

摘要

体外膜肺氧合（ECMO）已被广泛用作治疗心肺功能衰竭的临床桥梁。最近，我们联合使用静脉-动脉体外膜肺氧合（VA-ECMO）和血液灌流成功治疗了一名急性乌头碱中毒患者。患者在昏迷和休克状态下被送入急诊重症监护室（EICU）。她接受了包括血液灌流和抗休克治疗在内的综合治疗。入院 40 分钟后，患者突然呼吸和心跳骤停。在常规除颤和心肺复苏无效后，立即启动了静脉-动脉 ECMO。VA-ECMO 启动一小时后，患者的心律稳定为窦性心律。经过 33 小时的支持性护理，患者清醒，血流动力学稳定，并成功移除了 VA-ECMO。患者在入院 7 天后完全康复。

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Extracorporeal membrane oxygenation combined with hemoperfusion to assist in the rescue of aconitine poisoning: A case report.

Extracorporeal membrane oxygenation (ECMO) has been widely used as a clinical bridge for cardiopulmonary failure. We recently used combined veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and haemoperfusion to successfully treat a patient with acute aconitine poisoning. The patient was admitted to the Emergency Intensive Care Unit (EICU) in a state of coma and shock. Her received comprehensive treatment, including haemoperfusion and anti-shock therapy. 40 minutes after admission, the patient experienced sudden respiratory and cardiac arrest. After conventional defibrillation and cardiopulmonary resuscitation proved ineffective, veno-arterial ECMO was immediately initiated. One hour after initiation of VA-ECMO, the patient's heart rhythm stabilised to sinus rhythm. After 33 h of supportive care, the patient was awake, haemodynamically stable and the VA-ECMO was successfully removed. The patient made full recovery 7 days after admission.

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来源期刊

Perfusion-Uk 医学-外周血管病

CiteScore

3.00

自引率

8.30%

发文量

203

审稿时长

6-12 weeks

期刊介绍： Perfusion is an ISI-ranked, peer-reviewed scholarly journal, which provides current information on all aspects of perfusion, oxygenation and biocompatibility and their use in modern cardiac surgery. The journal is at the forefront of international research and development and presents an appropriately multidisciplinary approach to perfusion science.