PDF(Pubmed)
Abstract：
UNASSIGNED: Cardiac arrest (CA) caused by peripartum cardiomyopathy (PPCM) is a catastrophic disease that can lead to a high mortality rate in young women. Cardiopulmonary resuscitation (CPR) is the initial first aid measure to be taken and unfortunately, does not always lead to the restoration of spontaneous circulation (ROSC). We shared a rare successful case of extracorporeal cardiopulmonary oxygenation-assisted resuscitation (ECPR) in a patient with CA for up to 5.5 hours due to PPCM.
UNASSIGNED: A previously healthy 31-year-old woman at 34 weeks of gestation was admitted to the emergency department with fever and arrhythmia. Two days later, the patient had postpartum CA. She underwent CPR for up to 5 hours before receiving V-A extracorporeal membrane oxygenation (ECMO) support and eventually regained spontaneous circulation after half an hour. Based on the clinical manifestations, the patient was diagnosed with PPCM and received treatment. The patient was successfully removed from ECMO after 9 days. The patient experienced ECMO-related complications, including thrombocytopenia and intracranial hemorrhage (ICH). Although treatment was difficult, the patient was discharged after 2 months without any neurological complications. We followed up for 1 year and the patient was able to work normally as a teacher. In our mini-review, we found that the success rate of ECPR in perinatal CA was high, and ECPR is worthy of promotion and application.
UNASSIGNED: As an advanced life support method, ECPR can save patients undergoing postpartum CA. However, effective CPR and avoidance of ICH are necessary for the recovery of brain function.
UNASSIGNED: A previously healthy 31-year-old woman at 34 weeks of gestation was admitted to the emergency department with fever and arrhythmia. Two days later, the patient had postpartum CA. She underwent CPR for up to 5 hours before receiving V-A extracorporeal membrane oxygenation (ECMO) support and eventually regained spontaneous circulation after half an hour. Based on the clinical manifestations, the patient was diagnosed with PPCM and received treatment. The patient was successfully removed from ECMO after 9 days. The patient experienced ECMO-related complications, including thrombocytopenia and intracranial hemorrhage (ICH). Although treatment was difficult, the patient was discharged after 2 months without any neurological complications. We followed up for 1 year and the patient was able to work normally as a teacher. In our mini-review, we found that the success rate of ECPR in perinatal CA was high, and ECPR is worthy of promotion and application.
UNASSIGNED: As an advanced life support method, ECPR can save patients undergoing postpartum CA. However, effective CPR and avoidance of ICH are necessary for the recovery of brain function.
摘要：
UNASSIGNED：围产期心肌病（PPCM）引起的心脏骤停（CA）是一种灾难性疾病，可导致年轻女性的高死亡率。心肺复苏（CPR）是最初的急救措施，不幸的是，并不总是导致自发循环（ROSC）的恢复。由于PPCM，我们分享了一例罕见的CA患者体外心肺氧合辅助复苏（ECPR）的成功案例，长达5.5小时。
未经证实：一名先前健康的31岁妇女在妊娠34周时因发烧和心律失常进入急诊科。两天后,患者患有产后CA。在接受V-A体外膜氧合（ECMO）支持之前，她接受了长达5小时的CPR，并在半小时后最终恢复了自发循环。根据临床表现，患者被诊断为PPCM并接受治疗.9天后，患者成功从ECMO中取出。患者出现ECMO相关并发症，包括血小板减少症和颅内出血（ICH）。虽然治疗很困难,患者2个月后出院，无任何神经系统并发症。我们随访了1年，患者能够作为一名教师正常工作。在我们的迷你评论中，我们发现围产期CA的ECPR成功率很高，ECPR值得推广应用。
UNASSIGNED：作为一种先进的生命支持方法，ECPR可以挽救产后CA的患者。然而,有效的CPR和避免ICH是脑功能恢复的必要条件。
未经证实：一名先前健康的31岁妇女在妊娠34周时因发烧和心律失常进入急诊科。
UNASSIGNED：作为一种先进的生命支持方法，
