Nishiyama K, Kawai T, Niu S, Yaku H, Wada Y, Ohga K, Oka T
Kyobu Geka. 1989 Nov;42(12):1029-31.
A 6-year-old boy who had a history of asthma attack since 3 years old, but whose symptom was well controlled with medication received a radical operation for ASD. During the operation, he suffered from severe asthma attack. In blood gas analysis, PCO2 was increased to 302 mmHg with a decrease of pH to 6.740. Every conventional treatment for asthma attack was not effective, and then extracorporeal membrane oxygenation (ECMO was performed within 2 hours after operation. Blood gas data normalized and his hemodynamic condition was well maintained by ECMO. After 4 hours 20 minutes, he was weaned off from ECMO. Post operative course was uneventful except for pneumothorax.
一名6岁男孩，自3岁起有哮喘发作史，但症状通过药物得到良好控制，接受了房间隔缺损根治手术。手术期间，他发生了严重的哮喘发作。血气分析显示，二氧化碳分压（PCO2）升至302 mmHg，pH值降至6.740。哮喘发作的各种常规治疗均无效，随后在术后2小时内进行了体外膜肺氧合（ECMO）治疗。血气数据恢复正常，ECMO维持了他良好的血流动力学状态。4小时20分钟后，他脱离了ECMO。术后过程顺利，仅出现气胸。
