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Application of mechanical circulatory support in treatment of infants with severe congenital heart disease and cardiac arrest

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机构: [a]PICU, Affiliated Bayi Children's Hospital, Bayi Clinical Medical Institute, Southern Medical University, Beijing 100007, China [b]PICU, Affiliated Bayi Children's Hospital of General Hospital of Beijing, PLA Military Region, Beijing 100007, China [c]Pediatric Cardiology and Cardiac Surgery, Affiliated Bayi Children's Hospital of General Hospital of Beijing, PLA Military Region, Beijing 100007, China
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关键词: Cardiac arrest Cardiopulmonary bypass (CPB) Cardiopulmonary resuscitation Congenital heart disease Extracorporeal membrane oxygenation (ECMO) Mechanical circulatory support (MCS)

摘要:
Mechanical circulatory support (MCS) for saving infants with severe congenital heart disease who are receiving traditional cardio-pulmonary resuscitation has never been conducted before. The selection of timing and indications of MCS is associated with clinical ethics, and most of the doctors are more cautious in the application of extracorporeal membrane oxy-genation (ECMO) for infants with severe disease undergoing cardio-pulmonary resuscitation. ECMO was used for the treatment in 3 infants of complex congenital heart disease and cardiac arrest from October 2012 to January 2013 in our hospital. Among these 3 patients, ECMO was successfully evacuated in 2 cases. For infants with severe congenital heart disease who suffered from cardiac arrest, timely and quickly establishing a circulatory support to correct further injury due to hypoxia and hypoperfusion, is an effective treatment method.

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