Extracorporeal Membrane Oxygenation and an Emergency Embolectomy for an Acute Massive Pulmonary Embolism

葉克膜併緊急血栓切除術應用於急性大量肺動脈栓塞

胡珀元(Po-Yuan Hu) ； 李君儀(Jiun-Yi Li) ； 吳懿哲(Yi-Jae Wu) ； 吳協兆(Shye-Jao Wu)

《中華民國急救加護醫學會雜誌》 15卷4期 (2004/12) Pp. 151-154

https://doi.org/10.30018/JECCM.200412.0003

摘要

急性的大量肺栓塞如果不經積極的治療會造成患者致命。在此緊急狀況之下，通常需要肺血管攝影來確定診斷。然而，血管攝影的步驟在這一類已經産生心臓總衰竭又沒有經過輔助醫療的患者是相當危險的。利用「葉克膜」可以當做是急救以及在術前接受肺前接受肺血管攝影的一個輔助工具。我們提出一個因爲心跳停止而送到急診的病患，經過急救，緊急放置「葉克膜」後，續接受手術清除肺血管栓塞成功的案例。

關鍵字

急性大量肺栓塞 ； 肺血管攝影 ； 葉克膜 ； 栓塞清除術

並列摘要

An acute massive pulmonary embolism causing circulatory collapse is fatal without aggressive intervention. Pulmonary angiography is usually required to confirm the diagnosis in an emergency condition. However the procedure carries a high risk in patients with unsupported cardiogenic shock. Extracorporeal membrane oxygenation plays an important role in resuscitation and preoperative support during pulmonary angiography. We describe a patient who was sent to the emergency station with the presentation of cardiac arrest. She was successfully resuscitated using extracorporeal membrane oxygenation and subsequently treated by a surgical embolectomy.

並列關鍵字

acute massive pulmonary embolism ； pulmonary angiography ； extracorporeal membrane oxygenation ； embolectom