静脉动脉体外膜肺氧合CTA成像
本帖最后由 倚天剑120 于 2023-7-26 11:08 编辑患者:男65岁
主诉:呼吸心跳骤停后2小时行ECMO治疗
现病史:患者于6月19日下午3时许突发胸闷不适，自觉气短，无明显不适，未予重视。后症状逐渐加重，夜间胸闷气喘明显，不能活动无黑朦晕厥，无咯血。6月20日凌晨5时许，送浦口中心医院查ECG示:l、aVL、V5、V6导联ST段抬高，CK-MB、CTnI升高，考虑心肌损伤，于7时许转至我院;07:33患者突发面色青紫，全身痉挛，心电监护提示室颤，予胸外按压、气管插管机械通气、电除颤5次后患者自主心律仍不能维持:后行ECMO治疗，于08:25 ECMO建立成功，并行急诊冠脉造影术，未见冠脉闭塞
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作者：刘玉琰、朱晓梅
来源：江苏省人民医院放射科
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