https://scholars.lib.ntu.edu.tw/handle/123456789/571009
標題: | Rescue for acute myocarditis with shock by extracorporeal membrane oxygenation | 作者: | YIH-SHARNG CHEN MING-JIUH WANG NAI-KUAN CHOU YIN-YI HAN ING-SH CHIU Lin, Fang Yue Chu, Shu Hsun Ko, Wen Je |
公開日期: | 1-十二月-1999 | 卷: | 68 | 期: | 6 | 來源出版物: | Annals of Thoracic Surgery | 摘要: | Background. Acute myocarditis (AM) complicated with refractory cardiogenic shock carries a very high mortality. We report our experience in treating these patients, who were rescued by extracorporeal membrane oxygenation (ECMO) and intravenous immunoglobulin. Methods. Over a 5-year period, 5 patients with AM were rescued with ECMO in our hospital. Femoral venoarterial ECMO was performed in 4 patients, and right atrium-left atrium- aorta ECMO in the other 1 due to ventricular dysfunction. Hemofiltration was applied to 3 patients. Marked elevated creatine kinase, its MB form, and troponin T (TnT) were found before ECMO. Results. All the patients could be weaned off the ECMO after 140.0 ± 57.7 hours of ECMO support. One patient died of multiple organ failure 10 days later after removal of ECMO, resulting in a 20% mortality. Renal function returned to normal in all survivors. The 4 survivors were discharged uneventfully in 23.3 ± 8.3 days and resumed functional class I status. The TnT level declined to the low level within 3 days (slope -4.94 ± 1.18 ng/mL/day), and might be an indicator of good recovery of myocardium. Conclusions. ECMO can provide an effective and simple treatment for critical AM with a satisfactory result and reduce the possibility of progressive cardiomyopathy. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/571009 | ISSN: | 00034975 | DOI: | 10.1016/S0003-4975(99)01174-1 | SDG/關鍵字: | adrenalin; creatine kinase MB; dobutamine; dopamine; heparin; immunoglobulin; immunoglobulin G; isoprenaline; milrinone; noradrenalin; troponin T; acute disease; adult; article; cardiogenic shock; child; clinical article; controlled study; extracorporeal oxygenation; female; heart failure; heart ventricle function; hemofiltration; human; male; multiple organ failure; myocarditis; priority journal; Acute Disease; Adolescent; Adult; Child; Creatine Kinase; Extracorporeal Membrane Oxygenation; Female; Humans; Immunoglobulins, Intravenous; Isoenzymes; Male; Myocarditis; Shock, Cardiogenic; Survival Rate; Troponin T |
顯示於: | 醫學系 |
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