体外膜肺氧合用于危重经皮冠状动脉介入治疗Application of extracorporeal membrane oxygenation for critical percutaneous coronary intervention treatment
潘绪,李田昌,汤楚中,孙文婷,解水本,李寒,赵哲,迟海涛
摘要(Abstract)：
目的总结体外膜肺氧合(ECMO)在危重患者经皮冠状动脉介入治疗(PCI)中应用的经验。方法 2012年1月至2013年3月6例危重冠心病患者在PCI术中使用ECMO辅助,回顾性分析其临床资料,调查患者基本情况、辅助原因、辅助时间、并发症及预后。结果 6例患者均在ECMO辅助下顺利完成PCI术,辅助时间34~96 min,术中血流动力学平稳,平均动脉压(MAP)70~90mm Hg,术中未出现心室颤动、呼吸心搏骤停、心脏压塞等PCI术中严重并发症。6例患者分别置入支架2~4枚。1例患者因肾功能不全于PCI术毕通过ECMO管路连接超滤器行改良超滤以预防对比剂肾病。所有患者术后均顺利停机并撤除ECMO,术后1~3 d心力衰竭的症状得到控制,可平卧,无心绞痛发作。1例患者术前合并肺部感染,因感染加重于术后1个月死亡,其余5例患者康复出院。结论 ECMO可以为危重PCI患者提供有效支持治疗,但需充分评估病情,及时适度应用。
关键词(KeyWords)： 体外膜肺氧合;冠状动脉介入治疗
基金项目(Foundation):
作者(Author): 潘绪,李田昌,汤楚中,孙文婷,解水本,李寒,赵哲,迟海涛
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