KẾT QUẢ ĐIỀU TRỊ OXY HÓA MÁU QUA MÀNG NGOÀI CƠ THỂ Ở TRẺ VIÊM CƠ TIM TỐI CẤP TẠI BỆNH VIỆN NHI ĐỒNG THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objective: assess the efficacy of extracorporeal membrane oxygenation (ECMO) on treatment of fulminant myocarditis in children admitted at the City Children’s Hospital.

Methods: Retrospective descriptive study of cases series.

Results: 15 children with fulminant carditis  unresponsive to medical resuscitations have been treated with ECMO, average age of 11.5 years old, youngest 6 years old, eldest 15 years old. Therapeutic intervention of ECMO has showed improvement on clinical findings such as cardiac rate, pallor, mottled skin, cardiac function, organ perfusion of liver, kidney as well as betterment on metabolic acidosis, level of lactate. Survival rate was 66.7%.

Conclusion: ECMO is the effective supportive intervention for patients with fulminant myocarditis unresponsive standard therapeutic protocol, saving life of patient with fulminant myocarditis.