杜中涛,邢家林,杨峰,江春景,缪娜,刘锋,杨晓芳,黄连军,侯晓彤

• 1:首都医科大学附属北京安贞医院心脏外科危重症中心体外循环与机械辅助循环科
• 2:首都医科大学附属北京安贞医院心脏外科危重症中心介入诊疗科

摘要(Abstract)：

目的总结体外膜肺氧合(ECMO)治疗冠状动脉粥样硬化性心脏病(冠心病)患者经皮冠状动脉介入治疗(PCI)围术期发生心原性休克的临床经验。方法回顾分析北京安贞医院心脏外科危重症中心2012年1月至2015年2月,9例患者因为PCI围术期发生心原性休克而应用动静脉ECMO支持。使用适应证包括大剂量的血管活性药物应用和(或)应用主动脉内球囊反搏(IABP)仍难以维持血流动力学稳定或PCI围术期发生难以复律的心搏骤停。回顾性分析9例患者的临床资料,包括患者基本情况、ECMO应用时机和后续治疗等。并根据住院结果及后续治疗策略进行分组比较。结果患者中位年龄为56(32,62)岁,其中男6例(66.7%)。在9例患者中,5例(55.6%)患者ECMO后进行了再血管化处理,其中4例(80.0%,4/5)顺利康复出院;另外4例患者进行了恢复性治疗,其中2例(50.0%,2/4)顺利康复出院。ECMO支持中位时间114.0(20.0,245.0)h。总共有7例(77.8%)患者成功脱离ECMO辅助,6例(66.7%)患者顺利康复出院。结论对PCI围术期心原性休克采用ECMO维持循环进行再血管化或过渡到恢复是可行的。

关键词(KeyWords)： 体外膜肺氧合;经皮冠状动脉介入治疗;心原性休克

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 杜中涛,邢家林,杨峰,江春景,缪娜,刘锋,杨晓芳,黄连军,侯晓彤

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