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从卢卡斯设备使用的血液膜治疗低温心脏骤停的管理:一个案例报告

Wade Hopper¹, Elena J Danielson¹, Anthony J Duncan¹

¹Department of Surgery, University of North Dakota, Grand Forks, ND, USA.

The American journal of case reports

|October 6, 2025

概括

严重低温心脏骤停的幸存者可以通过心肺旁路回暖来治疗. 设备辅助的心肺复苏可能会导致肝损伤,需要在重新加热期间仔细监测血脉.

科学领域:

紧急医疗紧急医疗
心脏病学心脏病学
创伤外科手术创伤外科

背景情况:

意外严重的低温导致心脏骤停是罕见的,但死亡率很高.
一名30岁的男性在暴露于-15°C的天气后出现了医院前的心脏骤停,核心温度为20°C.

研究的目的:

描述一个成功的体外加热重温严重低温心脏骤停的案例.
为了突出肝损伤的并发症二次设备辅助心肺复苏.

主要方法:

患者在一级创伤中心接受了心肺旁路回暖.
由于怀疑手术内并发症,进行了诊断性腹腔切除术.
延迟的胸和腹部关闭在几天内得到管理.

主要成果:

取得了成功的回暖和完全的神经恢复.
在腹腔切除术期间,鉴定出Lund大学心肺辅助系统 (LUCAS) 设备使用的次要肝脏撕裂.
患者在第23天出院.

结论:

通过心肺旁路进行体外加热,对由于严重的意外低温导致的心脏骤停是有效的.
临床医生应怀疑固体器官损伤,特别是肝脏撕裂,当使用设备辅助心肺复苏 (例如,卢卡斯设备).
在复苏后的患者中,心肺绕道术期间的低回归体积可能表明创伤性血脉.

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