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首页> 外文期刊>Acute and critical care. >Use of Extracorporeal Membrane Oxygenation for Optimal Organ Donation
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Use of Extracorporeal Membrane Oxygenation for Optimal Organ Donation

机译：体外膜氧合用于最佳器官捐赠

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摘要

We report a case of extracorporeal membrane oxygenation (ECMO) support for donor organ preservation in a brain-dead patient following out-of-hospital cardiac arrest. A 43-year-old male patient was referred to the emergency department after an out-of-hospital cardiac arrest caused by ventricular fibrillation. Spontaneous circulation was restored after 8 minutes of cardiopulmonary resuscitation. ECMO was implemented because of hemodynamic deterioration. The patient then underwent coronary angiography and was implanted with a drug-eluting stent because of occlusion at the proximal portion of the right coronary artery. After 144 hours, brain death was established, and ECMO support for optimal oxygen delivery was sustained until organ retrieval after consent for donation was received from the family. Liver and kidneys were successfully transplanted to three recipients, respectively.
机译：我们报告了一例体外死亡的院外心脏骤停后脑死亡患者供体器官保存的体外膜氧合（ECMO）支持。一名43岁男性患者因心室纤颤导致院外心脏骤停后被转诊至急诊科。心肺复苏8分钟后恢复自发循环。由于血流动力学恶化，实施了ECMO。然后对患者进行冠状动脉造影，并由于右冠状动脉近端的阻塞而植入了药物洗脱支架。 144小时后，确定了脑死亡，并维持了ECMO对最佳氧气输送的支持，直到获得家人同意捐赠后恢复器官。肝和肾分别被成功移植到三个接受者。

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