摘要急性心肌梗死(AMI)和急性大面积肺栓塞均可表现为无脉性电活动.在病因未纠正之前,表现为无脉性电活动的心搏骤停(CA)患者病死率极高.体外膜肺氧合(ECMO)作为一种人工心肺支持器官,为CA患者提供了救治的桥梁.天津市第三中心医院心脏中心收治1例类AMI的大面积肺栓塞患者,在ECMO辅助下进行了介入溶栓.通过介绍该病例的救治过程,旨在拓宽对无脉性电活动CA患者的诊治思路,提高对ECMO辅助并发症的认识.

abstractsAcute myocardial infarction (AMI) and acute massive pulmonary embolism can be characterized by no pulse electrical activity. Patients of cardiac arrest (CA) with no pulse electrical activity have a high mortality rate before the cause was corrected. Extracorporeal membrane oxygenation (ECMO), as a kind of artificial heart-lung support organ, provides treatment for CA patients. A case of massive pulmonary embolism similar to AMI was treated in the Third Central Hospital of Tianjin, who received interventional thrombolysis assisted by ECMO. Through the review of the overall development of the case, we aim to broaden the diagnosis and treatment of CA patients with no pulse electrical activity, and to improve the understanding of the complications secondary to ECMO.