摘要
本文报道1例因反复恶性心律失常、电风暴和心源性休克为主要临床特点确诊暴发性心肌炎的患者.应用ECMO、IABP、呼吸机和CRRT联合辅助进行生命支持,糖皮质激素抗炎、免疫球蛋白调节免疫状态,以及抗凝、镇静镇痛、抗心律失常、低温脑保护、脱水降颅压、抗感染及营养支持等综合救治下,患者病情好转后出院.
Abstract
This article reports a patient diagnosed with fulminant myocarditis due to the main clinical features as recurrent malignant arrhythmias,electrical storms,and cardiogenic shock.The patient was discharged from the hospital after his condition improved with the application of ECMO,IABP,ventilator and CRRT combined with assisted life support,glucocorticoid anti-inflammatory,immunoglobulin to regulate the immune status,as well as anticoagulation,sedation and analgesia,antiarrhythmia,hypothermia cerebral protection,dehydration to lower the cranial pressure,anti-infective and nutritional support and other comprehensive rescue treatments.
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