Lucey M A, Myburgh J A
Intensive Care Unit, St George Hospital, Sydney, New South Wales.
Anaesth Intensive Care. 2003 Aug;31(4):465-9.
Following three weeks of extracorporeal lung support for acute respiratory distress syndrome, a 15-year-old male underwent bilateral lung transplantation. This procedure was complicated by massive postoperative haemorrhage. The administration of recombinant activated Factor VII was associated with improved haemostasis. However, development of cardiac tamponade soon after injection required emergency exploration and evacuation of a large mediastinal clot.
在对一名急性呼吸窘迫综合征患者进行了三周的体外肺支持治疗后,一名15岁男性接受了双侧肺移植手术。该手术因术后大量出血而变得复杂。给予重组活化凝血因子VII后止血情况有所改善。然而,注射后不久出现了心脏压塞,需要紧急探查并清除大量纵隔血块。