Bille Anders Bastholm, Pedersen Karen Damgaard, Hertel Steen
Anæstesi- og Operationsklinikken, Juliane Marie Centret, Rigshospitalet, Denmark.
Ugeskr Laeger. 2011 Nov 28;173(48):3115-6.
This case presents a thirteen months old child with severe acute respiratory distress syndrome after ingestion of lamp oil (hydrocarbon). Mechanical ventilation including high-frequency oscillation could not stabilise the course, and the child developed pneumothorax and emphysema. Treatment was changed to veno-arterial extracorporeal membrane oxygenation (ECMO) on the third day. After nine days of ECMO and further two days of conventional ventilatory treatment he was extubated, and four months later the child presented with normal X-ray of the lungs and without any signs of disease.
该病例为一名13个月大的儿童，在摄入灯油（碳氢化合物）后出现严重急性呼吸窘迫综合征。包括高频振荡在内的机械通气无法稳定病情，患儿出现气胸和肺气肿。第三天治疗改为静脉-动脉体外膜肺氧合（ECMO）。经过9天的ECMO治疗和另外2天的传统通气治疗后，患儿拔管，4个月后肺部X线检查正常，无任何疾病迹象。
