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体外膜肺氧合(VV ECMO)在治疗负压性肺水肿中的成功应用。

Successful use of VV ECMO in managing negative pressure pulmonary edema.

作者信息

Grant Brian M, Ferguson Deangelo H, Aziz Jenna E, Aziz Salim M

机构信息

Department of Surgery, Howard University Hospital, Washington, District of Columbia.

出版信息

J Card Surg. 2020 Apr;35(4):930-933. doi: 10.1111/jocs.14472. Epub 2020 Feb 18.

Abstract

The indications for extracorporeal membrane oxygenation (ECMO) are expanding. Postobstructive pulmonary edema, also known as negative pressure pulmonary edema, can result in severe respiratory compromise and acute respiratory distress syndrome. We present a case of a 26-year-old female with laryngeal papillomatosis and laryngospasm after direct laryngoscopy, who developed severe NPPE refractory to mechanical ventilator support, which was successfully treated with veno-venous ECMO.

摘要

体外膜肺氧合(ECMO)的适应症正在不断扩大。梗阻后肺水肿,也称为负压性肺水肿,可导致严重的呼吸功能不全和急性呼吸窘迫综合征。我们报告一例26岁女性患者,在直接喉镜检查后发生喉乳头状瘤病和喉痉挛,出现严重的机械通气支持无效的负压性肺水肿,经静脉-静脉ECMO成功治疗。

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