急性呼吸窘迫综合征患者的长时间静脉-静脉体外膜肺氧合
Prolonged Venovenous Extracorporeal Membrane Oxygenation in a Patient With Acute Respiratory Distress Syndrome.
作者信息
Akkanti Bindu, Hussain Rahat, Nathan Sriram, Gentry Brandon, Young Alisha Y, Raissi Farshad, Nascimbene Angelo, Rajapreyar Indranee N, Banjac Igor D, Patel Kirti, Janowiak Lisa, Patel Manish, Patel Jayeshkumar A, Loyalka Pranav, Gregoric Igor D, Kar Biswajit
机构信息
From the *Critical Care, Pulmonary and Sleep Division, and †Center for Advanced Heart Failure, University of Texas Health Science Center at Houston, Houston, Texas.
出版信息
ASAIO J. 2016 Mar-Apr;62(2):e13-4. doi: 10.1097/MAT.0000000000000321.
A 30 year-old Hispanic man with no significant previous medical history presented with refractory hypoxemia after flu-like symptoms. Because of progressive hypoxemia despite appropriate ventilator strategies, venovenous extracorporeal membrane oxygenation (VV-ECMO) was initiated for severe acute respiratory distress syndrome (ARDS). His course was complicated at our hospital by subarachnoid hemorrhage, right ventricular failure, multiple pneumothoraces, and significant deconditioning. He was able to be weaned off VV-ECMO after 193 days and was ambulatory at discharge from the hospital.
一名30岁的西班牙裔男性，既往无重大病史，在出现流感样症状后出现难治性低氧血症。尽管采取了适当的通气策略，但由于低氧血症仍在进展，遂启动静脉-静脉体外膜肺氧合（VV-ECMO）治疗严重急性呼吸窘迫综合征（ARDS）。在我院，他的病程因蛛网膜下腔出血、右心室衰竭、多发气胸和明显的身体失健而变得复杂。193天后，他成功脱机，出院时可独立行走。
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