临床新进展

机械循环辅助装置在爆发性心肌炎中应用的研究进展

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  • 1 甘肃中医药大学第一临床医学院(兰州730000);2 先天性心脏病诊疗甘肃省国际科技合作基地 (兰州730000);3 甘肃省人民医院心血管外科(兰州730000)

网络出版日期: 2023-06-25

基金资助

金(编 21JR1RA027,22JR5RA655)

Research progress in the application of mechanical circulatory support in fulminant myocarditis

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  • The First Clinical Medical Col⁃ lege of Gansu University of Chinese Medicine,Lanzhou 730000,China;*Gansu International Scientific and Techno⁃ logical Cooperation Base of Diagnosis and Treatment of Congenital Heart Disease,Lanzhou 730000,China

Online published: 2023-06-25

摘要

爆发性心肌炎是一种比较罕见但非常严重的临床综合征,通常伴有严重的血流动力学改 变,表现为快速发作的低血压和心源性休克甚至死亡,目前没有特效药物治疗。机械循环辅助装置可以 替代部分心脏和(或)肺脏功能,维持循环稳定,成为帮助爆发性心肌炎患者度过急性期的关键措施。机 械循环辅助装置作为爆发性心肌炎的一种有效治疗手段,在国外已经趋于成熟,国内起步较晚,临床应用 较少,管理经验相对缺乏。本文就机械循环辅助装置在爆发性心肌炎应用中的研究进展做一综述

本文引用格式

何小龙, 王文鑫, 张鑫, 王翻宁, 移康, 尤涛, .

机械循环辅助装置在爆发性心肌炎中应用的研究进展

[J]. 实用医学杂志, 2023 , 39(12) : 1461 -1465 . DOI: 10.3969/j.issn.1006⁃5725.2023.12.001

Abstract

Fulminant myocarditis(FM)is a relatively rare but serious clinical syndrome. It usually accom⁃ panied by severe hemodynamic changes.It presents with as rapid onset hypotension,cardiogenic shock,or even death. currently,there is no specific drug treatment. Mechanical circulatory support(MCS)has become a key mea⁃ sure to help patients with explosive myocarditis through the acute phase,as it can replace part of the heart and/or lung functions,maintain stable circulation. As a treatment method for explosive myocarditis,Mechanical circulatory support has become a mature technology in abroad,but it has been developed relatively late and experience is rela⁃ tively lackingin china. This article reviews the research progress of mechanical circulatory support in the application of fulminant myocarditis. 

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