Thoracic and Vascular Surgery, Assistance Publique - Hôpitaux de Paris, Bobigny, France
Université Sorbonne Paris Nord UFR de Santé Médecine Biologie Humaine, Bobigny, France.
Thorax. 2020 Nov;75(11):994-997. doi: 10.1136/thoraxjnl-2020-214740. Epub 2020 Jul 24.
The use of extracorporeal membrane oxygenation for high-risk rigid bronchoscopy has been reported in few urgent cases. We report our experience with this approach which was planned electively in five cases on 202 procedures (2.5%). It was proposed because of the potential inability to ventilate the lungs using conventional techniques due to extensive tracheobronchial lesions or the risk of major intraoperative bleeding related to disease characteristics. There were no intraoperative complications and postoperative course was favourable in all patients. With a maximum follow-up of 3 years and 7 months, all patients are alive with no tracheostomy despite major morbidities.
体外膜肺氧合在高危硬质支气管镜检查中的应用仅在少数紧急情况下有报道。我们报告了在 202 例（2.5%）操作中，有 5 例因潜在的无法通过常规技术通气（由于广泛的气管支气管病变）或与疾病特征相关的大出血风险而计划进行这种方法的经验。该操作无术中并发症，所有患者术后情况良好。在最长 3 年 7 个月的随访中，尽管存在严重并发症，所有患者均存活且无需气管造口。
