Clinical analyses of seven cases of treatment of after-operation VES with ECMO
10.3969/j.issn.1671-8348.2016.17.013
- VernacularTitle:7例体外膜肺氧合救治心脏术后心室电风暴的临床分析
- Author:
Hongyan GONG
;
Jingjing LIU
;
Zhichao ZUO
;
Hongwei ZHANG
;
Qingzhi WANG
;
Xiuqin YUE
- Publication Type:Journal Article
- Keywords:
extracorporeal membrane oxygenation;
heart operation;
ventricular electrical storm
- From:
Chongqing Medicine
2016;45(17):2346-2347,2351
- CountryChina
- Language:Chinese
-
Abstract:
Objective Summarize the experiences of treating after-operation ventricular electrical storm (VES) with extra-corporeal membrane oxygenation (ECMO) .Methods Examine the clinical data of seven cases of treating after-operation VES with ECMO from January 2013 to April 2014 and analyze the basic pre-operation conditions of the patients ,diagnoses ,causes of VES ,ai-ding processes with ECMO ,and prognoses .Results Seven patients all were successfully separated from the machine after the treat -ment ,one patient infected seriously after being separated from the machine ,having multiple organ failure one week later and dis-charged voluntarily ;one patient having cerebral hemorrhage two days later after being separated from the machine and discharged voluntarily ;the remaining five patients cured and discharged with no complications .Conclusion ECMO can provide effective circu-lar support to patients suffering VES after heart operation ,maintaining coronary blood supply ,avoiding further myocardial damage , stabilizing electrolytes and the internal environment ,and gain time for restoration of heart rhythm and treatment according to the causes and triggers .
