VA-ECMO联合连续性肾替代治疗救治难治性心源性休克1例被引量：2

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摘要心源性休克是指左心和(或)右心功能不全导致的循环衰竭。心源性休克除了表现为心脏泵功能衰竭,还会出现重要脏器和组织供血严重不足,继而导致缺血、缺氧、代谢障碍,甚至重要脏器损害[1]。对于初始治疗失败的顽固性心源性休克,机械循环辅助可以提供血流动力学支持[2]。近年来,静脉-动脉体外膜肺氧合(veno-arterial extracorporeal membrane oxygenation,VA-ECMO)作为体外生命支持技术,在心源性休克中凸显出重要的治疗价值[3]。近来,我们成功抢救1死亡风险极高的心源性休克患者,报告如下。

作者方海洋朱凯吴芳琴胡晶陆鹏陈琦吴延庆

机构地区南昌大学第二附属医院心内科

出处《江西医药》 CAS 2021年第8期1140-1143,共4页 Jiangxi Medical Journal

基金江西省自然科学基金项目,编号20202BAB206004。

关键词心源性休克体外膜肺氧合连续性肾替代治疗

分类号 R541.64 [医药卫生—心血管疾病]

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1刘德林,王玉光,王敏娜,刘远,程丽,张奇峰,尹小雪,刘威,叶钢.血乳酸测定评估ECMO治疗的心源性休克患者预后价值[J].中华胸心血管外科杂志,2019,35(10):617-622. 被引量：15
2高国栋,吕琳,胡强,胡金晓,黑飞龙,吉冰洋,刘晋萍,于坤,龙村.阜外医院10年间成人体外膜肺氧合支持治疗回顾：治疗策略及影响因素分析[J].中华危重病急救医学,2015,27(12):959-964. 被引量：43

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