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題名 | Right Ventricular Dysfunction after Tetralogy Repair in a Pediatric Patient with Successful ECMO Support--A Case Report=ECMO成功使用於法洛氏四重症修補手術後引起右心室功能不全之病童--病例報告 |
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作者 | 黃奕鐘; 左安順; 李顯榮; 孫懋昇; 林素滿; 蔡勝國; | 書刊名 | 麻醉學雜誌 |
卷期 | 36:1 1998.03[民87.03] |
頁次 | 頁43-47 |
分類號 | 416.3、416.3 |
關鍵詞 | 手術後併發症:右心室功能不全; 心臟缺損先天性:法洛氏四重症; Postoperative complication: right ventricular dysfunction; Heart defects congenital:tetralogy of fallot; Extracorporeal membrane oxygenation; ECMO; |
語文 | 英文(English) |
中文摘要 | 肺動脈高壓及右心室功能不全為法洛氏四重症修補手術後所產生之合併症。雖 然肺血管擴張劑和強心劑可使用,便部分病童對於藥物治療效果不佳導致手術死亡,近年來 ,ECMO 之使用大幅增加。文獻報告 ECMO 可成功的使用開心手術後肺動脈高壓及右心室衰 竭。本病例報告一名法洛氏四重症修補手術後合併肺動脈高壓及右心室功能不全之 ECMO 使 用。並討論適應症,禁忌症及病患使用 ECMO 之存活率。從本病例中我們學習到如何減少有 關 ECMO 之併發症,希望提高開心手術病童之存活率。 |
英文摘要 | Right ventricular dysfunction after surgical repair of tetralogy is a serious life threatening complication. Although pulmonary vasodilators and inotropes can be used for cardiac support in tetralogy repair, these drugs may be effective in some patients. To date extracorporeal membrane oxygenation (ECMO) support may be used effectively in these patients when medical therapy fails. We report a case with successful ECMO support in right ventricular dysfunction and pulmonary hypertension after total surgical correction of Fallot's tetralogy. ECMO circuit was instituted in the operating room due to difficulty in weaning from cardjopuhmonary bypass in spite of aggressive medical therapy. We reviewed and discussed the indications, contraindicaltions of application of ECMO and patient survival with treatment of ECMO. At the same time we wish to share our limited experience we gained in our first attempt of ECMO support. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。