Extracorporeal membrane oxygenation for rescuing 12 children with acute fulminant myocarditis
10.3760/cma.j.issn.0578-1310.2016.11.011
- VernacularTitle:体外膜肺氧合抢救儿童急性暴发性心肌炎12例
- Author:
Lifen YE
1
;
Yong FAN
;
Chenmei ZHANG
;
Qiang SHU
;
Lizhong DU
;
Ru LIN
Author Information
1. 浙江大学附属儿童医院体外循环科
- Keywords:
Child;
Myocarditis;
Extracorporeal membrane oxygenation
- From:
Chinese Journal of Pediatrics
2016;54(11):843-846
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize clinical experience of using extracorporeal membrane oxygenation (ECMO) in rescuing children with acute fulminant myocarditis (AFM).Method Data of 12 children with acute fulminate myocarditis (6 boys and 6 girls,median age 8.3 (0.6,13.0) years,median weight 33.1 (6,61) kg) who were rescued with ECMO in Children's Hospital,Zhejiang University from September 2009 to August 2015 were analyzed retrospectively.The analysis focused on the intervene timing of ECMO for the cardiogenic shock and hypoperfusion caused by heart failure and(or) lethal arrhythmia and the essentials of ECMO cardiopulmonary resuscitation (ECPR) for cardiac arrest in pediatric AFM were summarized.Result The median ECMO duration was 110(22,240) h.Ten cases survived and 2 were dead of the total of 12 patients.Six ECPR patients survived and 2 were dead in the total of 8 ECPR patients.The complication of 10 survivors were cannula site bleeding (3 cases),hypematremia and intracranial hemorrhage (1 case),limping (1 case),hoarse voice (1 case),and cerebral injury (1 case).Conclusion The key points of improving ECMO rescuing outcome for the AFM children are grasping the ECMO intervene timing and training skilled ECMO team.For ECPR patients,keeping effective chest compressions resuscitation is the key to achieve survival and improve the quality of life.
