Boigner H, Trittenwein G, Marx M, Golej J
Department of Neonatology and Pediatric Intensive Care, University Children's Hospital, Vienna, Austria.
Artif Organs. 1999 Nov;23(11):1036-7. doi: 10.1046/j.1525-1594.1999.06461.x.
Today some authors consider univentricular repair a contraindication for postoperative cardiac extracorporeal membrane oxygenation (ECMO). The question is whether or not ECMO is indicated as pulmonary support in case of an overwhelming pulmonary infection during the postoperative course after a Norwood procedure. During the prolonged weaning period after a Norwood procedure using a 4 mm aortopulmonary shunt, proven respiratory syncytial virus (RSV) bronchiolitis occurred at the time of expected weaning from artificial ventilation. Venovenous ECMO was able to improve oxygenation, but when pulmonary opacification failed to resolve, ECMO was terminated after 12 days.
如今，一些作者认为单心室修复是术后心脏体外膜肺氧合（ECMO）的禁忌证。问题在于，在诺伍德手术后的病程中发生严重肺部感染时，ECMO作为肺部支持手段是否适用。在使用4毫米体肺分流管的诺伍德手术后的延长撤机期，预计从人工通气撤机时发生了经证实的呼吸道合胞病毒（RSV）细支气管炎。静脉-静脉ECMO能够改善氧合，但当肺部浑浊未消退时，ECMO在12天后终止。
