Experience and literature review on extracorporeal cardiopulmonary resuscitation in 3 patients with cardiac arrest in a mountain area hospital
10.3969/j.issn.1008-9691.2024.06.017
- VernacularTitle:山区医院体外心肺复苏救治3例心搏骤停患者的体会并文献复习
- Author:
Hubo TANG
1
;
Xianzhi WU
;
Jingxin ZHANG
;
Yong ZOU
;
Zuowei LI
;
Ran CHEN
;
Weiwei ZHOU
;
Bo YANG
;
Xiaoshu ZUO
;
Jie WEI
;
Jing CHEN
Author Information
1. 五峰土家族自治县人民医院重症医学科,湖北 宜昌 443413
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Hypertrophic cardiomyopathy;
Cardiogenic shock;
Extracorporeal membrane oxygenation-assisted cardiopulmonary resuscitation;
Percutaneous coronary intervention
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2024;31(6):735-738
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the treatment effects of extracorporeal cardiopulmonary resuscitation(ECPR)in 3 patients with cardiac arrest due to cardiac causes in a mountain area hospital,providing a reference for clinical diagnosis and treatment.Methods The combined treatment process of 3 patients with cardiogenic cardiac arrest admitted to Wufeng Tujia Autonomous County People's Hospital from January to December 2023 was retrospectively analyzed,and the treatment experience was summarized.Results All 3 patients underwent continuous cardiopulmonary resuscitation and defibrillation while urgently initiating the ECPR combined rescue process.First,a central venous catheter(CVC)was established under ultrasound guidance to create access for extracorporeal membrane oxygenation(ECMO).Once the ECMO equipment from a higher-level hospital arrived,the circuit was replaced,significantly reducing the time required for subsequent patient treatment.Finally,two patients with acute myocardial infarction underwent emergency coronary angiography and percutaneous coronary intervention(PCI)under ECMO support,resulting in the restoration of spontaneous cardiac rhythm and gradual stabilization of vital signs.The last patient was discharged after recovery following transfer to a higher-level hospital,while another patient received rehabilitation treatment after hemodynamic stability was achieved.The third patient,who experienced cardiac arrest due to hypertrophic cardiomyopathy,regained spontaneous rhythm after ECMO,but due to poor neurological recovery after transfer to a higher-level hospital,the family chose to withdraw treatment.Conclusions ECPR is a rapid extracorporeal membrane oxygenation-assisted cardiopulmonary resuscitation method for patients who cannot regain spontaneous rhythm or experience recurrent cardiac arrest.It aims to improve patient survival rates.In grassroots medical centers lacking the necessary conditions,early assistance from regional advanced medical centers can ensure rapid transfer and surgery under ECMO support,providing a guarantee for favorable patient outcomes.
