Alzeer Abdulaziz H, Al Otair Hadil A, Khurshid Syed Moazzum, Badrawy Sherif El, Bakir Bakir M
Department of Critical Care, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
King Fahad Cardiac Centre, King Khalid University Hospital, Riyadh, Saudi Arabia.
Ann Thorac Med. 2015 Apr-Jun;10(2):143-5. doi: 10.4103/1817-1737.152461.
We report a case of an adolescent with near fatal asthma (NFA). He presented with severe hypoxemia and lifethreatening acidemia, who failed to respond to conventional therapy. His hospital course was complicated by barotrauma and hemodynamic instability. Early introduction of extracorporeal membrane oxygenation (ECMO) led to dramatic improvement in gas exchange and lung mechanics. This case illustrates the important role of ECMO as salvage therapy in NFA.
我们报告一例青少年近致死性哮喘（NFA）病例。他表现为严重低氧血症和危及生命的酸血症，对传统治疗无反应。他的住院过程因气压伤和血流动力学不稳定而复杂化。早期引入体外膜肺氧合（ECMO）使气体交换和肺力学得到显著改善。该病例说明了ECMO作为NFA挽救治疗的重要作用。
