Gander Jeffrey W, Rhone Erika T, Wilson William G, Barcia John P, Sacco Melissa J
Division of Pediatric Surgery, Department of Surgery.
Division of Pediatric Nephrology, Department of Pediatrics.
J Extra Corpor Technol. 2017 Mar;49(1):64-66.
The usual indications for extra corporeal membrane oxygenation (ECMO) are for respiratory or cardiac failure. Although continuous renal replacement therapy (CRRT) is frequently used when patients are on ECMO, the need for CRRT as the primary indication for ECMO is rare. A case of a neonate placed onto veno-venous ECMO for the use of CRRT to treat hyperammonemia from propionic acidemia is presented.
体外膜肺氧合(ECMO)的常见适应症是呼吸或心力衰竭。虽然患者接受ECMO治疗时经常使用持续肾脏替代疗法(CRRT),但以CRRT作为ECMO主要适应症的情况很少见。本文介绍了一例新生儿因使用CRRT治疗丙酸血症引起的高氨血症而接受静脉-静脉ECMO治疗的病例。