Rossaint R, Slama K, Lewandowski K, Frey D J, Weidemann H, Fuchs J, Nienhaus M, Henin P, Falke K
Department of Anesthesiology, UKRV/W, Free University of Berlin, FRG.
Eur J Cardiothorac Surg. 1992;6(1):43-5. doi: 10.1016/1010-7940(92)90097-h.
Surgery in patients treated with extracorporeal lung assist (ELA) carries a high risk of life threatening bleeding complications caused by the need for systemic anticoagulation. A case report describing a successful surgical intervention for the repair of a broncho-pleural leakage by thoracotomy during ELA is presented. A newly developed heparin coated extracorporeal system was used in a patient being treated for severe adult respiratory distress syndrome (ARDS) after left sided pneumectomy. The heparin coated system allowed discontinuation of systemic heparinization intraoperatively without coagulation complications related to the extracorporeal system. This procedure was followed by resolution of the ARDS.
接受体外肺辅助（ELA）治疗的患者进行手术时，因需要全身抗凝，存在发生危及生命的出血并发症的高风险。本文报告一例病例，描述了在ELA期间通过开胸手术成功修复支气管胸膜瘘的手术干预情况。一名左侧肺切除术后因严重成人呼吸窘迫综合征（ARDS）接受治疗的患者使用了新开发的肝素涂层体外系统。该肝素涂层系统使术中能够停止全身肝素化，而不会出现与体外系统相关的凝血并发症。此过程之后ARDS得到缓解。
