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[Application of extracorporeal membrane oxygenation technique in patients with refractory shock caused by dichlorvos
1Department of Intensive Care Unit, The Affiliated Liaocheng No. 2 People's Hospital of Shandong First Medical University, Linqing 252600, China.
Abstract:
Dichlorvos poisoning can cause muscarinic (M) -like symptoms, nicotinoid (N) -like symptoms and central nervous system manifestations. When severe poisoning is combined with refractory shock, the mortality rate exceeds 60%. At present, there are more and more studies on ECMO for poisoning, but there is no report on ECMO for treating refractory hypotension caused by dichlorvos poisoning. We analyzed 3 successful cases of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in the treatment of refractory shock caused by acute severe dichlorvos poisoning to explore the effectiveness of VA-ECMO in patients with severe poisoning.
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