Application of extracorporeal membrane oxygenation technique in patients with refractory shock caused by dichlorvos poisoning

VernacularTitle:静脉-动脉体外膜肺氧合救治敌敌畏中毒致难治性休克3例
Author: Tingting WANG ¹ ; Qingyue LIU ; Jiajun SUN
Author Information

1. 山东第一医科大学附属聊城市第二人民医院重症医学科，临清　252600
Keywords: Poisoning; Dichlorvos; Muscarine; Nicotinic; Extracorporeal membrane oxygenation; Refractory shock
From: Chinese Journal of Industrial Hygiene and Occupational Diseases 2023;41(9):688-692
CountryChina
Language:Chinese
Abstract: Dichlorvos poisoning can cause muscarinic (M) -like symptoms, nicotinoid (N) -like symptoms and central nervous system manifestations. When severe poisoning is combined with refractory shock, the mortality rate exceeds 60%. At present, there are more and more studies on ECMO for poisoning, but there is no report on ECMO for treating refractory hypotension caused by dichlorvos poisoning. We analyzed 3 successful cases of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in the treatment of refractory shock caused by acute severe dichlorvos poisoning to explore the effectiveness of VA-ECMO in patients with severe poisoning.