Hospital Sírio-Libanês, São Paulo (SP) Brasil.
J Bras Pneumol. 2012 Jan-Feb;38(1):7-12. doi: 10.1590/s1806-37132012000100003.
In 2009, during the influenza A (H1N1) epidemic, there were many reported cases of pulmonary infection with severe hypoxemia that was refractory to the ventilatory strategies and rescue therapies commonly used to treat patients with severe acute respiratory distress syndrome. Many of those cases were treated with extracorporeal membrane oxygenation (ECMO), which renewed international interest in the technique. The Extracorporeal Support Study Group was created in order to practice ECMO and to employ it in the treatment of patients with severe hypoxemia. In this article, we discuss the indications for using ECMO and report the case of a patient with refractory hypoxemia who was successfully treated with ECMO.
2009 年，在甲型 H1N1 流感流行期间，有许多报道的严重低氧血症性肺部感染病例，这些病例对治疗严重急性呼吸窘迫综合征患者常用的通气策略和抢救治疗无效。许多这样的病例都采用了体外膜氧合（ECMO）治疗，这重新引起了国际社会对该技术的兴趣。为了实践 ECMO 并将其用于治疗严重低氧血症患者，成立了体外生命支持研究小组。本文讨论了使用 ECMO 的适应证，并报告了 1 例采用 ECMO 成功治疗的难治性低氧血症患者。
