妊娠合并甲型流感急性呼吸窘迫综合征，需连续进行静脉-静脉体外膜肺氧合治疗并成功经阴道分娩。
Pregnancy complicated by influenza A ARDS requiring consecutive VV-ECMO treatment with successful vaginal delivery.
作者信息
Radsel Peter, Gorjup Vojka, Jazbec Anja, Knafelj Rihard, Lucovnik Miha, Kavsek Gorazd, Kornhauser Cerar Lilijana, Noc Marko
机构信息
Department of Intensive Internal Medicine, University Medical Center Ljubljana, Ljubljana, Slovenia.
Division of Gynecology and Obstetrics, Department of Perinatology, University Medical Center Ljubljana, Ljubljana, Slovenia.
出版信息
J Artif Organs. 2018 Dec;21(4):471-474. doi: 10.1007/s10047-018-1050-5. Epub 2018 May 17.
A 29-year-old woman presented with influenza A ARDS at 23 weeks of gestation. Mechanical ventilation failed and VV-ECMO was started in a non-ECMO hospital. Transportation was performed on ECMO. Within 5 days ECMO weaning was successful. Fetal condition was stable, and decision to continue pregnancy was taken. However, second VV-ECMO was needed due to ventilator-associated pneumonia. At 25 weeks, the patient spontaneously delivered a neonate vaginally. Patient's condition improved, and ECMO could be removed 10 days postpartum. 2-year follow-up showed no severe consequences in the mother and the child.
一名29岁女性在妊娠23周时出现甲型流感急性呼吸窘迫综合征。机械通气失败，在一家非体外膜肺氧合（ECMO）医院启动了静脉-静脉ECMO。患者在接受ECMO支持的情况下被转运。5天内成功撤机。胎儿情况稳定，决定继续妊娠。然而，由于呼吸机相关性肺炎，患者需要再次进行静脉-静脉ECMO治疗。孕25周时，患者经阴道自然分娩一名新生儿。患者病情好转，产后10天拔除ECMO。2年随访显示母婴均无严重不良后果。
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