Jotoku Hiromi, Sugimoto Satoru, Usui Akihiro, Tanaka Akihiko, Makise Hiroshi
Department of Emergency and Critical Care Medicine, Sapporo City General Hospital, North-11 West-13, Chuo-ku, Sapporo 060-8604, Japan.
Surg Today. 2006;36(1):76-8. doi: 10.1007/s00595-005-3099-z.
Empyema is a serious and often life-threatening condition. We report the case of a 45-year-old man with severe hypoxia caused by empyema after streptococcal pneumonia, which we successfully treated by surgical drainage assisted by a venovenous extracorporeal membrane oxygenation (ECMO) device. This device provided sufficient oxygenation during the perioperative period and was not associated with excessive bleeding under systemic heparinization. This case report shows the effectiveness of ECMO in allowing surgery and enhancing its benefits in patients with serious hypoxia.
脓胸是一种严重且常危及生命的病症。我们报告了一例45岁男性患者，其因链球菌肺炎后并发脓胸导致严重缺氧，我们通过静脉-静脉体外膜肺氧合（ECMO）装置辅助下的外科引流成功对其进行了治疗。该装置在围手术期提供了充足的氧合，且在全身肝素化情况下未出现过多出血。本病例报告显示了ECMO在允许进行手术以及增强其对严重缺氧患者益处方面的有效性。
