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体外膜肺氧合辅助心肺复苏成功抢救急性心肌梗死1例 被引量：3

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摘要 患者,男,68岁,因“反复发作晕厥4h”就诊.入院前4h,患者突发晕厥1次,持续约10余秒钟,休息后自行恢复意识,伴胸闷、憋气,大汗,口唇发绀,由家属送至外院,于就诊过程中患者再次出现意识丧失,心电监护提示心室颤动,给予电除颤、胸外心脏按压后恢复自主心律,意识恢复,心电图示“交界性心律,Ⅱ、Ⅲ、aVF ST段抬高0.3 ～0.5 mV”,考虑为“急性下壁心肌梗死”,见图1.给予口服阿司匹林、波立维抗栓治疗,并由120送入我院急诊.
作者 陆宏达 杨晶 吴霄迪 胡晓旻 段大为
机构地区 天津市第三中心医院
出处 《内科急危重症杂志》 2014年第6期426-427,共2页 Journal of Critical Care In Internal Medicine
关键词 体外膜肺氧合 心肺复苏 心肌梗死
分类号 R542.22 [医药卫生—心血管疾病]
  • 相关文献

参考文献8

  • 1Chen JS,Ko WJ,Yu HY,et al.Analysis of the outcome for patients experiencing myocardial infarction and cardiopulmonary resuscitation refractory to conventional therapies necessitating extracorporeal life support rescue[J].Crit Care Med,2006,34(4):950-957.
  • 2Massetti M,Tasle M,Le Page O,et al.Back from irreversibility:extracorporeal life support for prolonged cardiac arrest[J].Ann Thorac Surg,2005,79 (1):178-183.
  • 3Landry FJ,Parker JM,Phillips YY,et al.Outcome of cardiopulmonary resuscitation in the intensive care setting[J].Arch Intern Med,1992,152(11):2305-2308.
  • 4Schultz SC,Cullinane DC,Pasquale MD,et al.Predicting in-hospital mortality during cardiopulmonary resuscitation[J].Resuscitation,1996,33(1):13-17.
  • 5Chen YS,Lin JW,Yu HY,et al.Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest:an observational study and propensity analysis[J].Lancet,2008,372(9638):554-561.
  • 6张治平,吴明祥,杨遇春,刘波,徐承义,王芳,沈飞,王琛,刘成伟,苏晞.体外膜肺氧合在心脏危重症患者救治中的应用[J].内科急危重症杂志,2014,20(3):167-169. 被引量：25
  • 7Cardarelli MG,Young AJ,Griffith B.Use of extracorporeal membrane oxygenation for adults in cardiac arrest (E-CPR):a meta-analysis of observational studies[J].ASAIO J,2009,55 (6):581-586.
  • 8高国栋,龙村,黑飞龙,刘晋萍,袁媛,于坤,冯正义,赵举,胡盛寿,许建屏,常谦,刘迎龙,张海涛,王旭,刘平.107例体外膜肺氧合并发症回顾分析[J].心肺血管病杂志,2010,29(4):296-300. 被引量：61

二级参考文献33

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共引文献83

同被引文献19

引证文献3

二级引证文献6

内科急危重症杂志
2014年 第6期

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