https://scholars.lib.ntu.edu.tw/handle/123456789/560309
標題: | Highlighting Indication of extracorporeal membrane oxygenation in endocrine emergencies | 作者: | ANNE CHAO CHIH-HSIEN WANG You, Hao-Chun NAI-KUAN CHOU HSI-YU YU NAI-HSIN CHI SHU-CHIEN HUANG I-HUI WU Tseng, Li-Jung Lin, Ming-Hsien YIH-SHARNG CHEN |
公開日期: | 2015 | 出版社: | Nature Publishing Group | 卷: | 5 | 來源出版物: | Scientific Reports | 摘要: | Extracorporeal membrane oxygenation (ECMO) has been repeatedly used to rescue patients with cardiopulmonary arrest. However, its clinical utility in endocrine emergencies remains unclear. Herein, we describe a case series of 12 patients presenting with refractory shock secondary to endocrine emergencies who were rescued by ECMO support. Patients were identified between 2005 and 2012 from our ECMO registry. The diagnostic distribution was as follows: pheochromocytoma crisis (n=4), thyroid storm (n=5), and diabetic ketoacidosis (n=3). The initial presentation of pheochromocytoma crisis was indistinguishable from acute myocardial infarction (AMI) and frequently accompanied by paroxysmal hypertension and limb ischemia. Thyroid storm was characterized by hyperbilirubinemia and severe gastrointestinal bleeding, whereas neurological symptoms were common in diabetic ketoacidosis. The clinical outcomes of patients with endocrine emergencies were compared with those of 80 cases with AMI who received ECMO because of cardiogenic shock. The cardiac function and the general conditions showed a significantly faster recovery in patients with endocrine emergencies than in those with AMI. We conclude that ECMO support can be clinically useful in endocrine emergencies. The screening of endocrine diseases should be considered during the resuscitation of patients with refractory circulatory shock. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940055947&doi=10.1038%2fsrep13361&partnerID=40&md5=920b79f16b9b342e89f4d6dd5ce2ad3e https://scholars.lib.ntu.edu.tw/handle/123456789/560309 |
ISSN: | 2045-2322 | DOI: | 10.1038/srep13361 | SDG/關鍵字: | Adrenal Gland Neoplasms; adult; aged; demography; diabetic ketoacidosis; emergency; endocrine system; extracorporeal oxygenation; female; human; male; middle aged; Myocardial Infarction; pathology; pheochromocytoma; thyroid crisis; Adrenal Gland Neoplasms; Adult; Aged; Demography; Diabetic Ketoacidosis; Emergencies; Endocrine System; Extracorporeal Membrane Oxygenation; Female; Humans; Male; Middle Aged; Myocardial Infarction; Pheochromocytoma; Thyroid Crisis |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。