NGHIÊN CỨU HIỆU QUẢ ÁP DỤNG KỸ THUẬT TRAO ĐỔI OXY QUA MÀNG NGOÀI CƠ THỂ Ở BỆNH NHÂN SỐC TIM VÀ SAU NGỪNG TUẦN HOÀN TẠI BỆNH VIỆN ĐÀ NẴNG

Abstract

Study objectives: This study was conducted to evaluate the clinical effect of extracorporeal membranous oxygenation system (ECMO) in patients with cardiogenic shock or cardiac arrest in Danang Hospital. Study subjects and methods: Descriptive, retrospective and prospective study on 118 patients diagnosed with cardiogenic shock or circulatory arrest at Danang hospital, requiring ECMO intervention. Information on the general characteristics, circulatory failure characteristics of patients before ECMO and study indicators for evaluating ECMO results were collected. The results showed that the overall survival rate of all patients was 59.3%. The survival rate varies depending on the cause, the highest belongs to the group of patients with myocarditis, which is 82,14%, the group of patients with MI has a survival rate of only 34,78%, the group of patients with sepsis with myocardial damage. had the lowest survival rate with 22.22%. Conclusion: There was improvement of hemodynamic status after ECMO, decreasing in blood lactate level, increasing of mean systemic arterial pressure, improvement of pulse pressure and SOFA score