Sewaralthahab Sarah S, Menaker Jay, Law Jennie Y
a Department of Internal Medicine , University of Maryland Medical Center , Baltimore , MD , USA.
b R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine , Baltimore , MD , USA.
Hemoglobin. 2018 Jan;42(1):65-67. doi: 10.1080/03630269.2018.1450755.
A 25-year-old female with sickle cell anemia presented with respiratory failure due to acute chest syndrome (ACS). Given her severely compromised cardiopulmonary status, she was started on veno-venous extracorporeal membrane oxygenation (VV-ECMO). After 20 days, the patient's respiratory status improved and she was successfully decannulated. Veno-venous extracorporeal membrane oxygenation can be utilized for severe ACS in adult patients with sickle cell disease. Prompt initiation of this modality may improve outcomes in adult patients with sickle cell disease complicated by life threatening ACS.
一名25岁患有镰状细胞贫血的女性因急性胸综合征(ACS)出现呼吸衰竭。鉴于其严重受损的心肺状况,她开始接受静脉-静脉体外膜肺氧合(VV-ECMO)治疗。20天后,患者的呼吸状况改善,成功拔除插管。静脉-静脉体外膜肺氧合可用于患有镰状细胞病的成年患者的严重ACS。及时启动这种治疗方式可能会改善患有危及生命的ACS并发症的镰状细胞病成年患者的预后。