中华医学会第7次全国重症医学大会论文汇编1课件.pdf

C-01 Successful Extracorporeal Membrane Oxygenation for Cardiogenic Shock Due to Left Main Coronary Artery Myocardial Infarction 1 1 1 ZhongTao Du , Jia-Lin Xing , Xiao-Fang Yang , 2 2 3 1 Jing Hou , Ming Jia , Ran Dong , Xiao-Tong Hou 1. Department of Extracorporeal Circulation, Beijing Anzhen Hospital, Capital Medical University, Beijing, China 2. Department of Intensive Care Unit, Beijing Anzhen Hospital, Capital Medical University, Beijing, China 3. Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China Abstract A 59-year-old man was admitted to the emergency department with an acute myocardial infarctio n (AMI) due to left main coronary artery (LMCA) occlusion. An emergent percutaneous coronary angiogram was performed and showed total occlusion of the mid-shaft of the LMCA, which resulted in insufficient perfusion and the patient’s condition worsened. Because an intra-aortic balloon pump (IABP) could not provide adequate organ perfusion pressure, veno-arterial extracorporeal membrane oxygenation (ECMO) and percutaneous transluminal coronary angioplasty (PTCA) were performed. The patient was transferred to the Cardiac Surgical Department for surgical revascularization and coronary artery flow was re-established, successfully weaned from ECMO after 86 hours of support, and discharged to home with recovered left ventricular function 12 days later. C-02 恶病质合并低血容量休克患者的围手术期管理 陈松 中国医科大学附属第一医院 ICU 110001 患者赵某 性别 女 年龄 72 岁 主诉：