Park Jong Myung, Kim Chang Wan, Cho Hyun Min, Son Bong Soo, Kim Do Hyung
1 Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan, South Korea ; 2 Department of Thoracic and Cardiovascular Surgery, Trauma Center of Pusan National University Hospital, Pusan, South Korea.
J Thorac Dis. 2014 Dec;6(12):E255-8. doi: 10.3978/j.issn.2072-1439.2014.10.22.
Simultaneous improvement in respiratory maintenance and bleeding control increases survival of patients with life-threatening hemoptysis. Endobronchial blockade is an effective method and is preferred for emergency hemostasis. However, when the volume of hemoptysis is high, emergency hemostasis and airway maintenance are impossible due to flooding of blood into the airway. We used extracorporeal membrane oxygenation (ECMO) to overcome these limitations in a patient with massive hemoptysis due to severe blunt trauma and succeeded in saving the life by inducing a near-total airway obstruction.
同时改善呼吸维持和出血控制可提高危及生命的咯血患者的生存率。支气管内封堵是一种有效的方法，是紧急止血的首选。然而，当咯血量很大时，由于血液涌入气道，紧急止血和气道维持是不可能的。我们使用体外膜肺氧合（ECMO）来克服一名因严重钝性创伤导致大量咯血患者的这些限制，并通过诱导近乎完全的气道阻塞成功挽救了生命。
