中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2015年
8期
535-538
,共4页
暴发性心肌炎%体外膜肺氧合
暴髮性心肌炎%體外膜肺氧閤
폭발성심기염%체외막폐양합
Fulminant myocarditis%Extracorporeal membrane oxygenation
暴发性心肌炎是一种以急性血流动力学障碍为主要表现的心肌炎,起病急,进展快,病死率极高,早期即可出现严重心律失常和心源性休克,易漏诊、误诊。目前该病无特效药物治疗,一般采用对症及支持疗法。近年来,体外膜肺氧合的应用是治疗急性暴发性心肌炎的强力有效措施,可提高该病的抢救成功率。本文就目前体外膜肺氧合在暴发性心肌炎中的应用做一简单综述。
暴髮性心肌炎是一種以急性血流動力學障礙為主要錶現的心肌炎,起病急,進展快,病死率極高,早期即可齣現嚴重心律失常和心源性休剋,易漏診、誤診。目前該病無特效藥物治療,一般採用對癥及支持療法。近年來,體外膜肺氧閤的應用是治療急性暴髮性心肌炎的彊力有效措施,可提高該病的搶救成功率。本文就目前體外膜肺氧閤在暴髮性心肌炎中的應用做一簡單綜述。
폭발성심기염시일충이급성혈류동역학장애위주요표현적심기염,기병급,진전쾌,병사솔겁고,조기즉가출현엄중심률실상화심원성휴극,역루진、오진。목전해병무특효약물치료,일반채용대증급지지요법。근년래,체외막폐양합적응용시치료급성폭발성심기염적강력유효조시,가제고해병적창구성공솔。본문취목전체외막폐양합재폭발성심기염중적응용주일간단종술。
Fulminant myocarditis is a myocarditis of acute hemodynamic disorder as the main per-formance,with acute onset,rapid progression and high mortality.It will lead to serious arrhythmia and cardic shock,which may be delay to the diagnosis.There is no specific medicine for this disease currently,which is treated with symptomatic and supportive therapy in general.The application of extracorporeal membrane oxy-genation is an effective measures for the treatment of acute fulminant myocarditis in recent years.In this arti-cle,we made a review on the application of extracorporeal membrane oxygenation in fulminant myocarditis at present.