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2016年2月29日,在本院儿童外科重症监护室、因儿童心脏外科协作下,成功体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)支持下转运合并心功能衰竭大动脉转位重症新生儿1例。患儿,男,40周,生后17天,因“口周发绀、呼吸困难2周,加重1天”入当地医院,入院即出现心源性休克,血压(50~60)/(25~35)mmHg,经皮氧饱和度50%~70%,持续乳酸>15 mmol/L,心脏彩色超声确诊“完全型大动脉转位(室间隔完整)”。当地医院予机械通气、抗休克同时联系我院,启动体外
On February 29, 2016, at a pediatric surgical intensive care unit in our hospital, under successful cardiopulmonary surgery, extracorporeal membrane oxygenation (ECMO) facilitated transport of cardiac insufficiency and aortic transposition in severe neonates1 example. Children, male, 40 weeks, 17 days after birth, due to “perioral cyanosis, dyspnea for 2 weeks, one day heavier ” into the local hospital, admitted to hospital appeared cardiogenic shock, blood pressure (50 ~ 60) / 25 ~ 35) mmHg, percutaneous oxygen saturation 50% ~ 70%, continuous lactic acid> 15 mmol / L, cardiac color ultrasound confirmed “complete aortic transposition (complete ventricular septum) ”. Local hospital to mechanical ventilation, anti-shock at the same time contact our hospital, start in vitro