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冠状动脉搭桥术后非心源性肺水肿的静脉-静脉体外膜肺氧合治疗

Venovenous extracorporeal membrane oxygenation for noncardiogenic pulmonary edema after coronary bypass surgery.

作者信息

Katz N M, Buchholz B J, Howard E, O'Connell J, DePellegrini K, Wallace R B

机构信息

Department of Surgery, Georgetown University, Washington, DC 20007.

出版信息

Ann Thorac Surg. 1988 Oct;46(4):462-4. doi: 10.1016/s0003-4975(10)64668-1.

Abstract

A 71-year-old woman with noncardiogenic acute pulmonary edema early after having a coronary operation was treated with venovenous extracorporeal membrane oxygenation for uncontrollable hypoxia. Adequate oxygenation was achieved, the rapid deterioration of her condition was reversed, and ventilatory settings could be moderated. Two and a half days later, the patient was weaned from the system. At the time of this writing, the patient was in her sixth postoperative month and doing well. Details of this fairly simple but powerful technique are described.

摘要

一名71岁女性在冠状动脉手术后早期发生非心源性急性肺水肿,因难以控制的低氧血症接受了静脉-静脉体外膜肺氧合治疗。实现了充分的氧合,病情的快速恶化得到扭转,通气设置得以降低。两天半后,患者脱离了该系统。在撰写本文时,患者处于术后第六个月,情况良好。本文描述了这种相当简单但有效的技术的细节。

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