2024 年第 5 期 第 0 卷

体外膜氧合抢救冠状动脉痉挛导致的心脏停搏1例

Extracorporeal membrane oxygenation for rescue of cardiac arrest caused by coronary artery spasm: a case report

作者：叶其圣 张治平

英文作者：Ye Qisheng Zhang Zhiping

单位：武汉科技大学附属武汉亚心总医院急诊科，武汉430037 叶其圣为武汉科技大学医学部医学院在读研究生

英文单位：  Department of Emergency Wuhan Asia Heart General Hospital Affiliated to Wuhan University of Science and Technology Wuhan 430037 China Ye Qisheng is a Current Graduate Student at the Medicine School of the Ministry of Medicine of Wuhan University of Science and Technology

关键词：冠状动脉痉挛；心律失常；心脏停搏；体外膜氧合

英文关键词：Coronaryarteryspasm;Cardiacarrhythmia;Cardiacarrest;Extracorporealmembraneoxygenation

• 摘要：

• 冠状动脉痉挛是继发于血管收缩后几乎完全或完全闭塞，这一过程可引起缺血，导致典型变异型心绞痛、非典型性心绞痛、急性心肌梗死、猝死、各类型心律失常、心力衰竭等，如不及时发现和治疗是致命的。其中，冠状动脉痉挛导致的心脏停搏尚属少见。本文报道1例经体外膜氧合成功抢救严重冠状动脉痉挛导致心脏停搏患者的临床资料，以提高临床医师针对冠状动脉痉挛导致心脏停搏的警惕，提供体外膜氧合对心脏停搏的治疗思路参考。

• Coronary artery spasm is secondary to almost complete or complete occlusion of blood vessels after constriction. This process can cause ischemia, leading to typical variant angina pectoris, atypical angina pectoris, acute myocardial infarction, sudden death, various types of arrhythmia, heart failure and so on. It is fatal if not detected and treated in time. Among them, cardiac arrest caused by coronary artery spasm is rare. This article reports the clinical data of a case of cardiac arrest caused by severe coronary artery spasm successfully rescued by extracorporeal membrane oxygenation, in order to improve the vigilance of clinicians for cardiac arrest caused by coronary artery spasm, and to provide a reference for the treatment of cardiac arrest by extracorporeal membrane oxygenation.