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体外膜肺氧合治疗 4 例 2009 年大流行 H1N1 流感病毒继发细菌性感染所致心肺衰竭

Extracorporeal membrane oxygenation for cardiorespiratory failure in four patients with pandemic H1N1 2009 influenza virus and secondary bacterial infection.

机构信息

Cardiovascular Intensive Care Unit, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand.

出版信息

Br J Anaesth. 2010 Mar;104(3):326-9. doi: 10.1093/bja/aep396. Epub 2010 Jan 29.

DOI:10.1093/bja/aep396
PMID:20118487
Abstract

We report four patients with pandemic H1N1 2009 influenza virus and secondary bacterial infection who were treated with extracorporeal membrane oxygenation (ECMO) for cardiorespiratory failure. Three of the four patients had profound shock, necessitating support with venoarterial ECMO. Two patients died during ECMO support. The two survivors had prolonged hospital stays, which were complicated by renal failure and limb ischaemia.

摘要

我们报告了四例因大流行 H1N1 2009 流感病毒和继发细菌性感染而接受体外膜氧合（ECMO）治疗心肺衰竭的患者。这四例患者中有三例发生严重休克，需要静脉动脉 ECMO 支持。两名患者在 ECMO 支持期间死亡。两名幸存者的住院时间延长，并伴有肾衰竭和肢体缺血等并发症。

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