fulminant myocarditis

Tus kab mob myocarditis muaj tshwm sim sai sai, kev loj hlob sai, cov tsos mob ntxov ntxov, thiab muaj feem cuam tshuam tsis zoo thiab tsis pom kev. Guo Yuxiong, Tus Thawj Coj ntawm Lub Chaw Saib Xyuas Menyuam Yaus ntawm Guangdong Provincial Tib Neeg Lub Tsev Kho Mob, tsis ntev los no tau hais tias ib zaug cov tsos mob ntawm myocardial puas xws li hauv siab nruj, palpitations, qaug zog, thiab puas siab puas ntsws tshwm sim, nrog rau cov tsos mob ntawm plab zom mov tsis tau piav qhia xws li mob plab thiab ntuav, thawj tus kws kho mob yuav tsum ceev faj. Cov tsev kho mob uas tseem tsis tau siv ECMO thev naus laus zis rau cov menyuam yaus lossis tsis muaj cov xwm txheej rau kev saib xyuas thiab kev kho mob yuav tsum tau xa tus neeg mob mus rau lub tsev kho mob siab dua kom ntseeg tau tias kev nyab xeeb ntawm lub neej.

Xyoo tas los, tus ntxhais muaj 11 xyoos npe hu ua Yingying (ntse npe) raug coj mus rau Guangdong Provincial Tib Neeg Lub Tsev Kho Mob vim muaj mob myocarditis. Vim muaj kev hloov pauv hauv lub siab thaum menyuam yaus thiab noj tshuaj tiv thaiv tsis zoo rau lub sijhawm ntev, Yingying lub cev tiv thaiv kab mob qis heev. Txog thaum nws tau txais, nws lub siab yuav luag nres. Ntawm Lub Chaw Saib Xyuas Menyuam Yaus ntawm Guangdong Provincial Tib Neeg Lub Tsev Kho Mob, pab pawg kho mob tau siv ECMO es tsis txhob siv lub plawv ua haujlwm, ua kom nws cov kab mob hauv nruab nrog cev thiab ntshav txaus. Raws li kev kho mob dav dav, Yingying tau zoo tshem tawm ntawm lub tshuab tom qab 18 hnub ntawm ECMO kev txhawb nqa, thiab raug tso tawm kom zoo tom qab kev kho mob ntxiv.

Hauv Tsev Kho Mob Tib Neeg ntawm Guangdong xeev, muaj ntau tus menyuam yaus uas muaj cov mob myocarditis uas tau ua tiav zoo li Yingying. Guo Yuxiong tau hais tias "ECMO tej zaum yuav yog qhov kev kho mob zoo tshaj plaws rau cov mob myocarditis fulminant tam sim no," Guo Yuxiong tau hais. Yog tias ECMO tuaj yeem pib ua haujlwm raws sijhawm, nws tuaj yeem txhim kho qhov txiaj ntsig zoo ntawm kev cawm. Qhov no tsis tsuas yog cawm ib tug me nyuam xwb, tab sis kuj cawm ib tsev neeg.

Zhou Chengbin, Tus Thawj Coj ntawm Extracorporeal Circulation Department ntawm Department of Cardiology ntawm Guangdong Provincial People's Hospital, tau qhia tias lub tsev kho mob tau ua kev kho mob rau menyuam yaus ECMO txij li xyoo 2005 thiab yog lub tsev kho mob ntxov tshaj plaws hauv Guangdong xeev los ua kev kho mob ECMO rau menyuam yaus. Hauv tsib lub xyoos dhau los, ntau tshaj 140 kev kho mob ECMO tau ua tiav.

Zhou Chengbin tau hais tias rau cov neeg mob hnyav uas xav tau kev txhawb nqa ECMO, lawv yuav tsum tau pib sai li sai tau raws li ECMO cov lus qhia, txhawm rau tsim cov xwm txheej rau kev kho mob rau cov menyuam yaus mob hnyav thiab siv zog kho kom raws sijhawm. Nrog rau qhov miniaturization ntawm me nyuam yaus ECMO cov cuab yeej intubation thiab qhov kev ntsuam xyuas meej ntawm cov neeg mob, nws ntseeg tau tias ntau tus menyuam yaus uas tau txais kev kho mob ECMO tuaj yeem loj hlob zoo thiab koom ua ke hauv zej zog.

Yuav ua li cas tiv thaiv fulminant myocarditis? Guo Yuxiong tau hais tias yuav tsum muaj kev tawm dag zog kom tsim nyog los txhim kho kev tiv thaiv kab mob, tswj kev ua neej zoo, thiab zam kev qaug zog thiab kev ntxhov siab. Tom qab kis tus mob khaub thuas lossis mob plab, yog tias muaj cov tsos mob xws li qaug zog, pallor, tawm hws, mob caj dab, thiab mob hlwb tshwm sim, yuav tsum tau ceev faj thiab nrhiav kev kho mob tam sim kom tsis txhob ncua tus mob. Vim muaj qhov tseeb tias myocarditis tuaj yeem ua rau mob plawv mob plawv, cov menyuam yaus uas muaj mob myocarditis tau pom zoo kom ua raws li kev mus sij hawm ntev.