Division of Pediatric Cardiothoracic Surgery, Department of Surgery, Saint Louis Children's Hospital and Washington University, Saint Louis, St. Louis, Missouri, USA.
Ann Thorac Surg. 2013 Feb;95(2):692-4. doi: 10.1016/j.athoracsur.2012.05.128.
Neonates who experience respiratory failure despite maximal ventilatory support have only extracorporeal membrane oxygenation as a rescue therapy, but it has very poor outcomes as a bridge to transplantation. A pumpless lung-assist device has been used in adults as a bridge to lung transplantation. An alternative membrane oxygenator, the Quadrox iD, is a suitable size for neonatal blood flow. Here we report the use of the Quadrox iD membrane oxygenator with central cannulation as a paracorporeal respiratory support therapy for a neonate with alveolar capillary dysplasia awaiting lung transplantation.
尽管接受了最大程度的通气支持，仍出现呼吸衰竭的新生儿，只有体外膜氧合作为抢救治疗，但作为移植桥接，其预后非常差。无泵肺辅助装置已在成人中用作肺移植桥接。另一种膜式氧合器 Quadrox iD 适合新生儿的血液流量。在这里，我们报告了使用 Quadrox iD 膜式氧合器进行中央插管，作为等待肺移植的肺泡毛细血管发育不良新生儿的体外呼吸支持治疗。
