暴发性心肌炎不可逆心脏骤停体外膜肺氧合（ECMO）治疗

摘要

目的：观察体外膜肺氧合（ECMO）治疗暴发性心肌炎心脏骤停的效果。方法二例暴发性心肌炎患者住院治疗过程中出现心脏节律和传导异常，随即出现心脏骤停，立即给予ECMO（VA模式）治疗。结果给ECMO治疗，辅助平均157.5 h后，二例均完全恢复。结纶暴发性心肌炎出现新的心律失常可能预示不可逆心脏骤停，在CPR基础上早期ECMO治疗是成功的关键。%Objective To observe the effects of extracorporeal membrane oxygenation (ECMO) in treatment of irreversible sudden cardiac arrest in fulminant myocarditis. Methods Two patients with fulminant myocarditis were admitted. During treatment irreversible sudden cardiac arrest occurred. Veno-arterial ECMO was administered immediately in addition to cardiopulmonary resuscitation (CPR). Results Normal sinus rhythm was resumed 157.5h after the beginning of ECMO on average. Conclusion A new arrhythmia indicates the occurrence of irreversible sudden cardiac arrest, and early ECMO therapy on the basis of CPR is the key to succeed in resuming the heart beat.