Higashi K, Takeshita J, Terasaki H, Tanoue T, Esaki K, Sakamoto M, Tsutsumi R, Kishi H, Yano T, Ootsu T
Kokyu To Junkan. 1989 Mar;37(3):329-33.
A 17 year-old male accidentally fell into a loading shute filled with sharp particles of sawdust. He aspirated a large amount of sawdust and suffered from acute airway obstruction accompanied by barotrauma, probably due to severe cough and tissue damage from the needle sharp sawdust particles. Ordinary mechanical ventilation was not enough to keep normal gas exchange. To sustain life, a venovenous extracorporeal lung assist, ECLA, with two Kolobow membrane lungs was performed. Under ECLA, the sawdust particles were removed from the airway one by one with a bronchofiber scope taking almost 10 hours. Then the left lung lavage was performed with normal saline to remove finer sawdust. The patient survived these procedures and was weaned from ECLA after 36 hrs. His recovery was uneventful.
一名17岁男性意外跌入装满尖锐木屑颗粒的装料斜槽。他吸入了大量木屑，因剧烈咳嗽和尖锐木屑颗粒造成的组织损伤，导致急性气道阻塞并伴有气压伤。普通机械通气不足以维持正常气体交换。为维持生命，使用两台科洛博夫膜肺进行了静脉-静脉体外肺辅助（ECLA）。在ECLA支持下，用纤维支气管镜逐个从气道清除木屑颗粒，耗时近10小时。然后用生理盐水进行左肺灌洗以清除更细小的木屑。患者挺过了这些操作，并在36小时后脱离ECLA。他恢复顺利。
