Johnston P W, Bashner B, Liberman R, Gangitano E, Vogt J
Department of Surgery, Huntington Memorial Hospital, Pasadena, CA.
J Pediatr Surg. 1988 Oct;23(10):908-12. doi: 10.1016/s0022-3468(88)80382-8.
The clinical use of extracorporeal membrane oxygenation (ECMO) in the treatment of persistent pulmonary hypertension following surgical repair of congenital diaphragmatic hernia is reported on 11 patients. The patients had a total of 13 treatments; two patients had two treatments. During the same period of clinical use, 122 patients were placed on ECMO for all causes. The indications, results, and complications of the use of ECMO for treatment following surgical repair of congenital diaphragmatic hernia are presented. The reversal of persistent pulmonary hypertension is demonstrated. All patients treated by ECMO for congenital diaphragmatic hernia have survived.
本文报道了11例先天性膈疝手术修复后使用体外膜肺氧合(ECMO)治疗持续性肺动脉高压的临床应用情况。这些患者共接受了13次治疗,其中2例患者接受了2次治疗。在同一临床应用期间,共有122例患者因各种原因接受了ECMO治疗。文中介绍了先天性膈疝手术修复后使用ECMO治疗的适应证、结果及并发症。证实了持续性肺动脉高压的逆转。所有接受ECMO治疗先天性膈疝的患者均存活。