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体外膜肺氧合支持下肺叶切除术挽救幼儿坏死性肺炎生命：一例病例报告

Lobectomy on ECMO as a Life-Saving Procedure following Necrotizing Pneumonia in a Toddler: A Case Study.

作者信息

Ashkenazi Shira, Ben-Nun Alon, Pessach Itai, Rubinshtein Marina, Paret Gideon

机构信息

Department of Pediatric Intensive Care, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat Gan, Israel, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Department of Thoracic Surgery, Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel.

出版信息

J Pediatr Intensive Care. 2018 Dec;7(4):207-209. doi: 10.1055/s-0038-1636507. Epub 2018 Mar 9.

DOI:10.1055/s-0038-1636507
PMID:31073496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6506680/
Abstract

Necrotizing pneumonia is a severe form of pneumonia that is mainly treated with conservative treatment, including antibiotics. We report a unique case of necrotizing pneumonia due to group A streptococcus infection in an 18-month-old boy who required extracorporeal membrane oxygenation (ECMO) support. Following surgical lobectomy, the child was weaned off ECMO and recovered uneventfully.

摘要

坏死性肺炎是肺炎的一种严重形式，主要采用包括抗生素在内的保守治疗。我们报告了一例独特的由A组链球菌感染引起的坏死性肺炎病例，患儿为一名18个月大的男孩，需要体外膜肺氧合（ECMO）支持。在进行手术肺叶切除术后，患儿脱离了ECMO并顺利康复。

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本文引用的文献

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Am J Respir Crit Care Med. 2017 Sep 15;196(6):762-771. doi: 10.1164/rccm.201609-1945OC.
2
Surgical Management of Complicated Necrotizing Pneumonia in Children.儿童复杂性坏死性肺炎的外科治疗
Pediatr Neonatol. 2017 Aug;58(4):321-327. doi: 10.1016/j.pedneo.2016.06.002. Epub 2016 Oct 28.
3
Extracorporeal Life Support Organization Registry International Report 2016.体外生命支持组织2016年国际注册报告
ASAIO J. 2017 Jan/Feb;63(1):60-67. doi: 10.1097/MAT.0000000000000475.
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J Pediatr Surg. 2017 Mar;52(3):405-409. doi: 10.1016/j.jpedsurg.2016.11.031. Epub 2016 Nov 14.
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Complicated community acquired pneumonia in childhood: Different types, clinical course, and outcome.儿童复杂性社区获得性肺炎：不同类型、临床病程及转归
Pediatr Pulmonol. 2017 Feb;52(2):247-254. doi: 10.1002/ppul.23523. Epub 2016 Jul 8.
6
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Med Mal Infect. 2016 Sep;46(6):314-7. doi: 10.1016/j.medmal.2016.04.004. Epub 2016 Jul 7.
7
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Pediatr Crit Care Med. 2007 May;8(3):282-7. doi: 10.1097/01.PCC.0000262795.11598.56.