Luc Jessica G Y, Meyer Steven R, Murtha William J, Singh Gurmeet
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.
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。
