成功将一名因严重呼吸衰竭接受体外膜肺氧合治疗的婴儿进行2000公里的国际转运。

Successful 2,000-Kilometer International Transfer of an Infant Receiving Extracorporeal Membrane Oxygenation for Severe Respiratory Failure.

作者信息

Brown Kilian, Dunne Ben, Festa Marino, La Hei Erik, Karpelowsky Jonathan, Dando Hayden, Orr Yishay

机构信息

Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.

Heart Centre for Children, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.

出版信息

Ann Thorac Surg. 2016 Aug;102(2):e131-3. doi: 10.1016/j.athoracsur.2016.01.037.

DOI:10.1016/j.athoracsur.2016.01.037

PMID:27449448

Abstract

There is minimal reported experience with long-range retrieval of pediatric patients receiving extracorporeal membrane oxygenation (ECMO) support. We report the case of a 10-month old boy with necrotizing staphylococcal pneumonia complicated by a bronchopleural fistula, who was successfully retrieved and transported while receiving ECMO to our unit in Sydney, Australia, from a referring hospital 2,000 kilometers away in the Pacific Islands. He was successfully weaned from ECMO to receive single-lung ventilation after 13 days, and he underwent surgical repair of his bronchopleural fistula through a thoracotomy 3 days after decannulation. He has made a full recovery.

摘要

关于接受体外膜肺氧合（ECMO）支持的儿科患者远程转运的报道经验极少。我们报告了一例10个月大的男孩，患有坏死性葡萄球菌肺炎并伴有支气管胸膜瘘，在接受ECMO支持的情况下，从2000公里外太平洋岛屿的一家转诊医院成功转运至澳大利亚悉尼我们的科室。13天后，他成功脱离ECMO并接受单肺通气，拔管3天后通过开胸手术修复了支气管胸膜瘘。他已完全康复。