Department of Gastroenterology, St Luke's University Health Network, Bethlehem, PA, USA.
Department of Pulmonary and Critical Care Medicine, St Luke's University Health Network, Bethlehem, PA, USA.
Am J Case Rep. 2020 Aug 1;21:e923374. doi: 10.12659/AJCR.923374.
BACKGROUND There have been few reports of colonic ischemia in patients receiving venovenous extracorporeal membrane oxygenation (VV-ECMO) treatment, and all patients died during the same hospitalization. CASE REPORT A 48-year-old man was admitted with acute respiratory failure secondary to multifocal pneumonia and required VV-ECMO treatment. He developed abdominal distention and colon dilatation and was subsequently found to have ischemic colitis. He was able to recover from critical illness and ischemic colitis with supportive treatment including colonic decompression. CONCLUSIONS Ischemic colitis is associated with mortality in patients receiving ECMO treatment. The understanding of the pathophysiology is still evolving and requires further research to improve patient outcomes.
在接受静脉-静脉体外膜肺氧合（VV-ECMO）治疗的患者中，很少有报道出现结肠缺血，并且所有患者均在同一住院期间死亡。
一名 48 岁男性因多灶性肺炎继发急性呼吸衰竭而入院，需要接受 VV-ECMO 治疗。他出现腹部膨隆和结肠扩张，随后被诊断为缺血性结肠炎。他通过支持治疗（包括结肠减压）从危重病和缺血性结肠炎中康复。
缺血性结肠炎与接受 ECMO 治疗的患者的死亡率相关。对其病理生理学的理解仍在不断发展，需要进一步研究以改善患者的预后。
