Courouble Patricia, Geukens Paul, Laarbaui Fatima, Beauloye Christophe, Van Caenegem Olivier, Jacquet Luc-Marie
Department of Cardiovascular Intensive Care Unit, Cliniques Universitaires St. Luc, Brussels, Belgium.
J Extra Corpor Technol. 2011 Jun;43(2):75-8.
Extracorporeal membrane oxygenation (ECMO) is a technique that provides support to selected patients with severe respiratory failure. During the 2009 H1N1 influenza infection outbreak, ECMO was used with a good impact on survival for pregnant women, who are at higher risk of H1N1 influenza infection. However, there is little information about the survival of fetus post-ECMO therapy in the literature. We present a case report of a pregnant patient with severe adult respiratory distress syndrome secondary to 2009 H1N1 influenza treated with ECMO. The outcome was good both for the mother and her fetus. At 1-year follow-up, her child had no neurological or clinical abnormalities. We conclude that ECMO can be used safely during pregnancy with a good neurological and clinical outcome for the fetus.
体外膜肺氧合（ECMO）是一种为选定的严重呼吸衰竭患者提供支持的技术。在2009年甲型H1N1流感感染爆发期间，ECMO被用于治疗甲型H1N1流感感染风险较高的孕妇，对其生存产生了良好影响。然而，文献中关于ECMO治疗后胎儿存活情况的信息很少。我们报告一例因2009年甲型H1N1流感继发严重成人呼吸窘迫综合征的孕妇接受ECMO治疗的病例。母亲和胎儿的结局均良好。在1年的随访中，她的孩子没有神经或临床异常。我们得出结论，孕期可安全使用ECMO，胎儿的神经和临床结局良好。
