一例高海拔地区ECMO联合航空转运救治高原性肺水肿致呼吸心搏骤停患者经验
A case of ECMO combined with air transport in high altitude area in the treatment of high altitude pulmonary edema caused by respiratory and cardiac arrest
摘要目的:探讨在高原地区ECMO的运用价值以及ECMO联合航空转运危重症的可行性。方法:以四川省人民医院急诊ICU于2019年7月8日收治的高原性肺水肿所致呼吸心搏骤停患者为研究对象,考察ECMO联合航空转运对其治疗疗效和预后的影响。结果:经ECMO联合航空转运救治后,患者心、肺功能明显得到改善,神志转为清醒,格拉斯哥-匹兹堡脑功能表现计分(CPC)1分。结论:ECMO联合航空转运救治高原性肺水肿致呼吸心搏骤停疗效明确,预后良好具有巨大的应用前景。
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abstractsObjective:To explore the application value of ECMO in plateau areas and the feasibility of ECMO combined with air transport for critical illness.Methods:Patients with respiratory and cardiac arrest caused by high altitude pulmonary edema admitted to the Emergency ICU of Sichuan Provincial People's Hospital on July 8, 2019 were enrolled as the research object. The effect of ECMO combined with air transport on the treatment efficacy and prognosis was investigated.Results:After ECMO combined with air transport, the patient's heart and lung functions were significantly improved, and his consciousness became awake. The Glasgow-Pittsburgh Cerebral Performance Score (CPC) score was 1 point.Conclusions:ECMO combined with air transport has a clear curative effect in the treatment of respiratory and cardiac arrest caused by high altitude pulmonary edema, with a good prognosis and great application prospect.
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