体外模式人工氧合法治疗产后出血引起的循环骤停
Extracorporeal membrane oxygenation therapy for circulatory arrest due to postpartum hemorrhage作者机构：Department of Obstetrics and Gynecology A. de Villeneuve University Hospital 371 Ave. Doyen G. Giraud 34295 Montpellier Cedex 5 France Dr.
出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)
年 卷 期：2006年第2卷第10期
页 面：61-62页
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学]
主 题：产后出血 循环骤停 子宫收缩乏力 前列腺素类似物 双胎妊娠 剖宫产术 胸骨切开术 心脏按压 反应状态
摘 要：BACKGROUND: Cardiac arrest after postpartum hemorrhage may not respond to advanced life support. Various resuscitation methods have been proposed, including sternotomy and direct cardiac massage. Extracorporeal membrane oxygenation (ECMO) might be an alternative. CASE:We report the case of a woman who suffered atonic uterine hemorrhage perioperatively after cesarean delivery of twins. During initial conservative treatment using pros taglandin analog(sulprostone), cardiac decompensation developed andwas followed by cardiopulmonary arrest. Circulatory failure remained unresponsive after 2 hours of resuscitation, when ECMO was initiated. The ensuing recoverywas favorable. CONCLUSION: Aggressive mechanical circulatory support, such as ECMO, should be considered in a case of potentially reversible cardiocirculatory failure in a young obstetric patient.
维普期刊数据库
同方期刊数据库