作者：赵知文，刘雪芳，张晓霖，李韶辉，骆润，方志成

单位：

442000湖北省十堰市，湖北医药学院附属太和医院急诊医学科

Units：

Department of Emergency Medicine, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China

关键词：

猝死，心脏；心肺复苏术；休克，心源性；体外膜肺氧合；连续性肾替代疗法；病例报告

Keywords：

Death, sudden, cardiac; Cardiopulmonary resuscitation; Shock, cardiogenic; Extracorporeal membraneoxygenation; Continuous renal replacement therapy; Case reports

CLC：

R 541

DOI：

10.12114/j.issn.1008-5971.2023.00.168

Funds：

湖北省卫生健康委科研资助项目（WJ2023M164）；湖北医药学院研究生科技创新项目（YC2023037）

摘要：

　急性心肌梗死是由冠状动脉闭塞或持续痉挛引起的急性心肌缺血，可导致局部心肌细胞坏死和心功能丧失，并发症有心源性休克、恶性心律失常等，其中心搏骤停最为严重。本文报道1例突发心搏骤停患者，其在基层医院进行心肺复苏后呼吸、心率恢复，但仍持续存在心源性休克，在湖北医药学院附属太和医院接受体外膜肺氧合（ECMO）联合连续性肾脏替代治疗（CRRT），预后较好。

Abstract：

Acute myocardial infarction is an acute myocardial ischemia caused by coronary artery occlusion orcontinuous spasm, which leads to local myocardial necrosis and cardiac function loss. The complications include cardiogenicshock, malignant arrhythmia, etc, and the most serious complication is cardiac arrest. This paper reports a case of sudden cardiacarrest. After cardiopulmonary resuscitation in the primary hospital, the patient's respiration and heartbeat recovered, but therewas still cardiogenic shock. Received extracorporeal membrane oxygenation (ECMO) combined with continuous renal replacementtherapy (CRRT) at Taihe Hospital, Hubei University of Medicine and the prognosis was good.

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