H1N1肺炎患者高频振荡通气的应用。

The use of high-frequency oscillatory ventilation in a patient with H1N1 pneumonia.

作者信息

Netteburg Danae, Bsat Fadi, Healy Andrew, Markenson Glenn, Plevyak Michael, Circeo Lori

机构信息

Divisions of Maternal-Fetal Medicine & Critical Care Medicine, Baystate Medical Center, Springfield, MA 01199, USA.

出版信息

J Matern Fetal Neonatal Med. 2011 Feb;24(2):264-6. doi: 10.3109/14767058.2010.484470. Epub 2010 May 17.

DOI:10.3109/14767058.2010.484470

PMID:20476871

Abstract

A 32-year-old multigravida was admitted at 33.9 weeks with respiratory distress. Community-acquired pneumonia was suspected and antimicrobial treatment initiated with ceftriaxone sodium and azithromycin. However, despite these therapies her respiratory status deteriorated. She was subsequently diagnosed with Swine-origin Influenza A (H1N1) Virus pneumonia and treated with oseltamivir. After failing conventional ventilation, high-frequency oscillatory ventilation (HFOV) was utilized. In pregnant patients who fail to respond to conventional ventilation techniques, HFOV should be considered.

摘要

一名32岁的多产妇在孕33.9周时因呼吸窘迫入院。怀疑为社区获得性肺炎，开始使用头孢曲松钠和阿奇霉素进行抗菌治疗。然而，尽管进行了这些治疗，她的呼吸状况仍恶化。随后她被诊断为甲型H1N1流感病毒肺炎，并接受了奥司他韦治疗。在常规通气失败后，采用了高频振荡通气（HFOV）。对于对常规通气技术无反应的孕妇，应考虑使用HFOV。