电子心肺复苏术:恢复生命。

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Shubhadeep Das, Debasis Das, Nilanjan Dutta, Manish Kumar Sharma
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引用次数: 0

摘要

体外心肺复苏(E-CPR)在心肺复苏(CPR)过程中采用快速静脉动脉体外膜氧合(VA-ECMO)来恢复灌注。本病例涉及一个3.5个月大的女婴,左冠状动脉与肺动脉异常(ALCAPA),严重的左心室功能障碍,中度二尖瓣反流。手术矫正后,拔管后出现心脏骤停。常规CPR失败,70 min后开始E-CPR。ECMO在72 h和45 min期间维持血液动力学稳定性和终末器官功能。脱管后,患者恢复明显,神经功能正常,心功能改善。出院后6个月,左心室功能恢复正常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
E-CPR: coming back to life.

Extracorporeal cardiopulmonary resuscitation (E-CPR) employs rapid venoarterial extracorporeal membrane oxygenation (VA-ECMO) during cardiopulmonary resuscitation (CPR) to restore perfusion. This case involves a 3.5-month-old girl with anomalous left coronary artery from the pulmonary artery (ALCAPA), severe left ventricular dysfunction, and moderate mitral regurgitation. After surgical correction, she experienced cardiac arrest post-extubation. Conventional CPR failed, and E-CPR was initiated after 70 min. Hemodynamic stability and end-organ function were maintained during 72 h and 45 min on ECMO. Post-decannulation, she showed significant recovery, normal neurological status, and improved cardiac function. At 6 months post discharge, her left ventricular function was normalized.

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来源期刊
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.20
自引率
14.30%
发文量
141
期刊介绍: The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
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