临床资料 男性患儿, 11 岁, 因“发热4 d, 腹痛1 d”入院。患儿4 d 前无明显诱因发热伴咽痛, 最高体温39 ℃, 就诊当地医院, 考虑“上呼吸道感染”, 输注头孢呋辛及对症处
理, 效果欠佳, 转诊我院急诊。查体: 心率102 次/min, 呼吸34 次/min, 血压60 /32 mm Hg( 1 mmHg = 0. 133 kPa) , 体温38 ℃。K+ 5.4 mmoL/L, Na+ 126 mmoL/L, Cl - 95 mmoL/L,WBC 11. 5 ×109 /L, RBC 4. 76 ×1012 /L, Hb 120 g/L。心肌酶谱: CK 2098 U/L, CKMB 82 U/L, TNT 32. 1 U/L。ECG 提示:不规则多源性室性心律, Ⅲ度房室传导阻滞, 广泛导联ST-T损伤型改变。临床诊断: ①急性暴发型心肌炎; ②心源性休克; ③Ⅲ度房室传导阻滞。
Citation：
刘长文,胡炜,胡伟航,朱英,郑永科,陆骏,王剑荣. 体外膜肺氧合抢救一例急性暴发型心肌炎. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(5): 541-541. doi:
Copy
| 1. |
Chen YS, Yu HY, Huang SC, et al. Experience and result of extracorporeal mem-brace oxygenation in treaing fulmyocarditis with shock: what mechanical support should be considered first? J Heart Lung Transplant, 2005, 24 : 81-87.
|
| 2. |
Kato S, Morimoto S, Hiramitsu S, et al. Use of percutaneous eardiopulmonary support of patients with fulminant myoearditis and cardiogenicshock for improving prognosis. Am J Cardiol, 1999, 83 :623-625.
|
| 3. |
Maej ima Y, Yasu T, Kubo N, et al. Long-term prognosis of fulminant myocarditis rescued by percutaneous cardiopulmonary support device.Cire J, 2004, 68 : 829-833.
|
| 4. |
Aoyama N, Isumi T, Hiramori K, et al. National survey of fulminant myocarditis in Japan: therapeutic guidelines and long-term prognosis of using percutaneous cardiopulmonary support for fulminant myocarditis. Circ J, 2002 , 66: 133-1414.
|
- 1. Chen YS, Yu HY, Huang SC, et al. Experience and result of extracorporeal mem-brace oxygenation in treaing fulmyocarditis with shock: what mechanical support should be considered first? J Heart Lung Transplant, 2005, 24 : 81-87.
- 2. Kato S, Morimoto S, Hiramitsu S, et al. Use of percutaneous eardiopulmonary support of patients with fulminant myoearditis and cardiogenicshock for improving prognosis. Am J Cardiol, 1999, 83 :623-625.
- 3. Maej ima Y, Yasu T, Kubo N, et al. Long-term prognosis of fulminant myocarditis rescued by percutaneous cardiopulmonary support device.Cire J, 2004, 68 : 829-833.
- 4. Aoyama N, Isumi T, Hiramori K, et al. National survey of fulminant myocarditis in Japan: therapeutic guidelines and long-term prognosis of using percutaneous cardiopulmonary support for fulminant myocarditis. Circ J, 2002 , 66: 133-1414.
