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体外膜肺氧合用于近乎溺水的复苏治疗

Resuscitation in near drowning with extracorporeal membrane oxygenation.

作者信息

Thalmann M, Trampitsch E, Haberfellner N, Eisendle E, Kraschl R, Kobinia G

机构信息

Department of Cardiothoracic Surgery, General Hospital Klagenfurt, Austria.

出版信息

Ann Thorac Surg. 2001 Aug;72(2):607-8. doi: 10.1016/s0003-4975(00)02307-9.

DOI:10.1016/s0003-4975(00)02307-9
PMID:11515909
Abstract

We report a case of near drowning of a 3-year-old girl, who was admitted to our emergency room with a core temperature of 18.4 degrees C. After rewarming on cardiopulmonary bypass and restitution of her circulation, respiratory failure resistant to conventional respiratory therapy prohibited weaning from cardiopulmonary bypass. Therefore, we instituted extracorporeal membrane oxygenation (ECMO). Fifteen hours later, she could be weaned from ECMO but required assisted ventilation for another 12 days. Twenty months later there are no neurologic deficits.

摘要

我们报告一例3岁女童近乎溺水的病例,该女童被送入我们的急诊室时,核心体温为18.4摄氏度。在体外循环复温并恢复其循环后,对传统呼吸治疗耐药的呼吸衰竭使她无法脱离体外循环。因此,我们启动了体外膜肺氧合(ECMO)。15小时后,她能够脱离ECMO,但仍需要辅助通气12天。20个月后,她没有神经功能缺损。

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