治疗性低温作为体外膜肺氧合治疗急性呼吸窘迫和难治性低氧血症的辅助手段。
Therapeutic hypothermia as an adjunct to extracorporeal membrane oxygenation for acute respiratory distress and refractory hypoxemia.
作者信息
Luc Jessica G Y, Meyer Steven R, Murtha William J, Singh Gurmeet
机构信息
1 Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
2 Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
出版信息
Perfusion. 2019 Jul;34(5):422-424. doi: 10.1177/0267659118822941. Epub 2019 Jan 10.
Legionella community-acquired pneumonia necessitating veno-venous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome has been reported in adults. However, few options remain in cases of refractory hypoxemia on veno-venous extracorporeal membrane oxygenation. Herein, we describe adjunctive extended therapeutic hypothermia for refractory hypoxemia despite veno-venous extracorporeal membrane oxygenation for successful management of severe acute respiratory distress syndrome secondary to Legionella.
成人中已报告军团菌社区获得性肺炎导致严重急性呼吸窘迫综合征，需要进行静脉-静脉体外膜肺氧合。然而，在静脉-静脉体外膜肺氧合治疗难治性低氧血症的情况下，可用的选择很少。在此，我们描述了尽管采用静脉-静脉体外膜肺氧合治疗难治性低氧血症，但仍采用辅助性延长治疗性低温，成功治疗了军团菌继发的严重急性呼吸窘迫综合征。
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