Kadakia Sagar, Ambur Vishnu, Moore Ryan, Toyoda Yoshiya, Shiose Akira
Department of Surgery, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA, 19140, USA.
Department of Cardiac Surgery, Temple University School of Medicine, Philadelphia, PA, USA.
Gen Thorac Cardiovasc Surg. 2017 Oct;65(10):594-597. doi: 10.1007/s11748-016-0740-2. Epub 2017 Jan 21.
Case studies on the use of venovenous extracorporeal membrane oxygenation in the obese patient have been infrequently reported. We report the successful utilization of venovenous extracorporeal membrane oxygenation in two obese patients with acute respiratory distress syndrome. The first patient had a body mass index of 93 and developed acute respiratory distress syndrome in the setting of pneumonia and aspiration while the second patient had a body mass index of 47 and developed acute respiratory distress syndrome in the setting of gastrografin aspiration. Both were successfully managed with venovenous extracorporeal membrane oxygenation and discharged from the hospital.
关于肥胖患者使用静脉-静脉体外膜肺氧合的病例研究报道较少。我们报告了两例肥胖急性呼吸窘迫综合征患者成功使用静脉-静脉体外膜肺氧合的情况。首例患者体重指数为93,在肺炎和误吸情况下发生急性呼吸窘迫综合征;第二例患者体重指数为47,在泛影葡胺误吸情况下发生急性呼吸窘迫综合征。两名患者均通过静脉-静脉体外膜肺氧合成功治疗并出院。