The effects of extracorporeal membrane oxygenation in severe cardiopaths with crisis
10.3760/cma.j.issn.1673-4904.2009.24.004
- VernacularTitle:体外膜肺氧合在抢救危重心脏病心脏危象患者中的应用
- Author:
Weihua ZHENG
;
Gang XIE
;
Huo XU
;
Yuan YUAN
;
Xinliang WANG
;
Yong YUAN
;
Zhigang ZHANG
- Publication Type:Journal Article
- Keywords:
Cardiac disease crisis;
Heart and lung support;
Extracorporeal membrane oxygenation
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(24):10-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of extracorporeal membrane oxygenation (ECMO) in severe cardiopaths with crisis. Methods Fourteen cases of severe eardiopaths with crisis were treated by ECMO with V A- ECMO technique, whose pump was centrifugal pump and whose tubes was spread byheparin. The cases included 8 fulminating myocarditis (FM) cases with ventricular arrhythmias or/and acute heart failure or/and cardiac shock and 6 acute myocardial infarction cases with pump failure or cardiac shock,in whom 10 cases with cardiorespiratory resuscitation. Haemodynamics and blood gas analysis, and so on were measured before and after treatment. Results The support time of ECMO was 3-106 h, mean (32.4±27.6) h. After ECMO mean arterial blood pressure (MAP), left ventricular ejection fraction (LVEF), left ventricular end-diastolic dimension (LVEDd), partial pressure of arterial oxygen, saturation of blood oxygen improved (P < 0.05 or < 0.01 ), negative value of base excess decreased significantly( P < 0.01 ). MAP had notchanged before and after stopping ECMO [ (80.02±10.20) wan Hg (1 mm Hg = 0.133 kPa) vs (76.34±9.15) mm Hg] (P > 0.05), however, LVEF and LVEDd improved continually (P <0.05). Conclusion ECMO can provide oxygen supply and stable circulation volume for severe cardiopaths with crisis to recover cardiorespiratory function or save valuable time to treat primary disease.
