体外膜肺氧合成功治疗一名患有严重癫痫疾病儿童的急性呼吸窘迫综合征：一例报告

Acute respiratory distress syndrome in a child with severe epileptic disorder treated successfully by extracorporeal membrane oxygenation: a case report.

作者信息

Nosaka Nobuyuki, Ichiba Shingo, Tsukahara Kohei, Knaup Emily, Hayashi Kumiko, Kasahara Shingo, Kobayashi Yoshinori, Oka Makio, Kobayashi Katsuhiro, Yoshinaga Harumi, Ujike Yoshihito

机构信息

Advanced Emergency and Critical Care Medical Center, Okayama University Hospital, Okayama, Japan.

Department of Pediatrics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

出版信息

BMC Pediatr. 2015 Apr 1;15:29. doi: 10.1186/s12887-015-0348-1.

DOI:10.1186/s12887-015-0348-1

PMID:25886476

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4422412/

Abstract

BACKGROUND

Extracorporeal membrane oxygenation (ECMO) is now a candidate therapy for children with acute respiratory failure.

CASE PRESENTATION

We report our experience of using central ECMO therapy for acute respiratory distress syndrome followed by seizure in a 15-month-old girl with a severe epileptic disorder. Her respiratory distress was refractory to standard medical treatment and mechanical ventilatory support. Her condition was complicated by development of a pneumothorax. The patient was successfully weaned off ECMO and discharged without deterioration of her neurological status.

CONCLUSION

The successful outcome in this case resulted from the central ECMO, which enabled "lung rest" and adequate cerebral blood flow. In skilled ECMO facilities, early implementation of ECMO would give some advantages to patients such as the one presented here. Given the invasiveness and the ease of the procedure, introduction of dual-lumen catheters adequately sized for pediatric patients in Japan is required.

摘要