Sepsis-induced cardiomyopathy complicated with cardiogenic shock patients supported with extracorporeal membrane oxygenation
10.3760/cma.j.issn.2095-4352.2017.12.018
- VernacularTitle:ECMO治疗脓毒症心肌病合并心源性休克
- Author:
Changzhi LIU
1
;
Ruiqiu ZHU
;
Zhujiang ZHOU
;
Haifeng LIU
;
Jingcheng LIN
;
Shuchao WEN
;
Liuer ZUO
Author Information
1. 南方医科大学顺德医院重症医学科
- Keywords:
Sepsis-induced cardiomyopathy;
Cardiogenic shock;
Extracorporeal membrane oxygenation
- From:
Chinese Critical Care Medicine
2017;29(12):1140-1143
- CountryChina
- Language:Chinese
-
Abstract:
Sepsis-induced cardiomyopathy is a reversible myocardial dysfunction due to sepsis, which may be severe enough to complicate cardiogenic shock, and without effective drug and with high mortality during the acute phase. A case of sepsis-induced cardiomyopathy complicated with cardiogenic shock was treated in the intensive care unit (ICU) of Shunde Hospital Southern Medical University. A 37 years old female patient was admitted because she had suffered repeated fever for 5 days, chest tightness and abdominal pain for 3 days. At the same time, there were severe cardiac depression and abdominal infection, which could be explained by the monismtheory of sepsis cardiomyopathy. The cardiogenic shock patient was not improved after antibiotic therapy and hemodynamic support, extracorporeal membrane oxygenation (ECMO) support was prescribed. The circulation failure was smoothly got through with ECMO and was transfer from ICU to ordinary ward. Computed tomographic angiography (CTA) of abdominal aorta and colonoscopy indicated lesions of small intestine. The diagnosis of infection and bleeding in ileum diverticulum was confirmed during the operation and the lesions was removed. She recovered and was discharged 1 week after operation. Through the case review, we aim to improve the awareness of sepsis-induced cardiomyopathy and the value of ECMO support in cardiogenic shock.
