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1例超级肥胖患者因严重呼吸衰竭行静脉-静脉体外膜肺氧合治疗。

A case of veno-venous extracorporeal membrane oxygenation for severe respiratory failure in a superobese patient.

作者信息

Belliato Mirko, Cremascoli Luca, Aliberti Anna, Pagani Michele, Pellegrini Carlo, Iotti Giorgio Antonio

机构信息

Second ICU S.C. Anestesia e Rianimazione 2 Fondazione IRCCS Policlinico San Matteo Pavia Italy.

Scuola di Specializzazione in Anestesia e Rianimazione Resident of Università degli Studi di Pavia Pavia Italy.

出版信息

Clin Case Rep. 2016 Oct 24;4(12):1147-1150. doi: 10.1002/ccr3.732. eCollection 2016 Dec.

DOI:10.1002/ccr3.732
PMID:27980751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5134152/
Abstract

After risk assessment, veno-venous extracorporeal membrane oxygenation (ECMO) has been achieved in a superobese adult patient as a bridge to recovery of respiratory failure, despite the weight-related difficulties. Early v-v ECMO implantation could be considered to support and to conduct weaning both from sedation and from invasive mechanical ventilation, with the goal to perform physiokinesitherapy during awake ECMO.

摘要

经过风险评估，尽管存在与体重相关的困难，但一名极度肥胖的成年患者已成功实施静脉-静脉体外膜肺氧合（ECMO）作为呼吸衰竭恢复的桥梁。早期实施静脉-静脉ECMO可考虑用于支持并引导患者脱离镇静和有创机械通气，目标是在清醒ECMO期间进行物理运动治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b66c/5134152/cf5bdc14c1cc/CCR3-4-1147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b66c/5134152/07c08e599ba5/CCR3-4-1147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b66c/5134152/cf5bdc14c1cc/CCR3-4-1147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b66c/5134152/07c08e599ba5/CCR3-4-1147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b66c/5134152/cf5bdc14c1cc/CCR3-4-1147-g002.jpg

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本文引用的文献

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Obesity and nutrition in acute respiratory distress syndrome.急性呼吸窘迫综合征中的肥胖与营养
Clin Chest Med. 2014 Dec;35(4):655-71. doi: 10.1016/j.ccm.2014.08.005. Epub 2014 Sep 24.
2
Predicting survival after extracorporeal membrane oxygenation for severe acute respiratory failure. The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction (RESP) score.体外膜肺氧合治疗严重急性呼吸衰竭患者的预后预测。呼吸体外膜肺氧合生存预测（RESP）评分。
Am J Respir Crit Care Med. 2014 Jun 1;189(11):1374-82. doi: 10.1164/rccm.201311-2023OC.
3
Lack of association between body weight and mortality in patients on veno-venous extracorporeal membrane oxygenation.
氧合器性能与人工肺-天然肺相互作用
J Thorac Dis. 2018 Mar;10(Suppl 5):S596-S605. doi: 10.21037/jtd.2017.10.05.
在接受静脉-静脉体外膜肺氧合治疗的患者中，体重与死亡率之间无关联。
Intensive Care Med. 2013 Nov;39(11):1995-2002. doi: 10.1007/s00134-013-3028-3. Epub 2013 Aug 7.
4
Lower short- and long-term mortality associated with overweight and obesity in a large cohort study of adult intensive care unit patients.在一项针对成年重症监护病房患者的大型队列研究中，超重和肥胖与较低的短期和长期死亡率相关。
Crit Care. 2012 Dec 18;16(6):R235. doi: 10.1186/cc11903.
5
Contemporary extracorporeal membrane oxygenation for adult respiratory failure: life support in the new era.当代成人呼吸衰竭体外膜肺氧合治疗：新时代的生命支持。
Intensive Care Med. 2012 Feb;38(2):210-20. doi: 10.1007/s00134-011-2439-2. Epub 2011 Dec 7.
6
The association between BMI and plasma cytokine levels in patients with acute lung injury.BMI 与急性肺损伤患者血浆细胞因子水平的相关性。
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