PDF(Pubmed)
Abstract：
UNASSIGNED: Acute pulmonary embolism (APE) is a common and potentially fatal cardiovascular disease that can lead to sudden cardiac arrest in severe cases. When conventional cardiopulmonary resuscitation measures fail to achieve the return of spontaneous circulation (ROSC) in patients with APE, venoarterial extracorporeal membrane oxygenation (ECMO) becomes a viable therapeutic option. As an advanced life support treatment, ECMO ensures the perfusion of critical organs, providing sufficient time for interventions necessary for ROSC.
UNASSIGNED: We report the case of a patient who experienced cardiac arrest due to pulmonary embolism. During the treatment, the patient received two sessions of external cardiopulmonary resuscitation (ECPR) as supportive care and experienced cerebral hemorrhage. Ultimately, the patient improved and was discharged following support from extracorporeal membrane oxygenation (ECMO), careful anticoagulation strategies, and intervention with balloon pulmonary angioplasty.
UNASSIGNED: ECMO can serve as an important life support technology for patients with severe APE. Through a cautious anticoagulation therapy, not only was the ECMO support successfully maintained but also was further deterioration of cerebral hemorrhage effectively prevented. For patients with concurrent main pulmonary artery embolism and bleeding, balloon pulmonary angioplasty may be an option.
UNASSIGNED: We report the case of a patient who experienced cardiac arrest due to pulmonary embolism. During the treatment, the patient received two sessions of external cardiopulmonary resuscitation (ECPR) as supportive care and experienced cerebral hemorrhage. Ultimately, the patient improved and was discharged following support from extracorporeal membrane oxygenation (ECMO), careful anticoagulation strategies, and intervention with balloon pulmonary angioplasty.
UNASSIGNED: ECMO can serve as an important life support technology for patients with severe APE. Through a cautious anticoagulation therapy, not only was the ECMO support successfully maintained but also was further deterioration of cerebral hemorrhage effectively prevented. For patients with concurrent main pulmonary artery embolism and bleeding, balloon pulmonary angioplasty may be an option.
摘要：
■急性肺栓塞（APE）是一种常见且可能致命的心血管疾病，在严重情况下会导致心脏骤停。当常规心肺复苏措施未能实现APE患者自主循环恢复(ROSC)时,静脉动脉体外膜氧合（ECMO）成为一种可行的治疗选择。作为一种先进的生命支持疗法，ECMO确保关键器官的灌注，为ROSC必要的干预提供足够的时间。
■我们报告一例因肺栓塞而发生心脏骤停的患者。在治疗过程中,患者接受2次体外心肺复苏(ECPR)支持治疗,并出现脑出血.最终,在体外膜氧合（ECMO）的支持下，患者病情好转并出院，谨慎的抗凝策略，和球囊肺血管成形术的干预。
■ECMO可以作为重度APE患者的重要生命支持技术。通过谨慎的抗凝治疗，不仅成功维持了ECMO支持，而且有效预防了脑出血的进一步恶化。对于并发主肺动脉栓塞和出血的患者，球囊肺血管成形术可能是一种选择.
■我们报告一例因肺栓塞而发生心脏骤停的患者。在治疗过程中,患者接受2次体外心肺复苏(ECPR)支持治疗,并出现脑出血.最终,在体外膜氧合（ECMO）的支持下，患者病情好转并出院，谨慎的抗凝策略，和球囊肺血管成形术的干预。
■ECMO可以作为重度APE患者的重要生命支持技术。通过谨慎的抗凝治疗，不仅成功维持了ECMO支持，而且有效预防了脑出血的进一步恶化。对于并发主肺动脉栓塞和出血的患者，球囊肺血管成形术可能是一种选择.
