Department of Cardiovascular Center, Zhongshan People's Hospital, Zhongshan 528403, PR China.
Department of Laboratory Diagnosis Center, Zhongshan People's Hospital, Zhongshan 528403, PR China.
Heart Lung. 2021 Jan-Feb;50(1):33-36. doi: 10.1016/j.hrtlng.2020.08.015. Epub 2020 Aug 21.
The novel coronavirus (COVID-19) has become a global pandemic outbreak. Patients with COVID-19 are prone to progress to acute respiratory distress syndrome (ARDS), and even severe ARDS with ineffective mechanical ventilation, and an extremely high mortality. Extracorporeal membrane oxygenation (ECMO) provides effective respiratory support and saves time for the treatment of severe COVID-19. The present study reports that a 31-year-old pregnant female infected by COVID-19, who suffered from fever, dyspnea, and rapid ARDS. The patient's pulmonary function gradually recovered by combining early mechanical ventilation and ECMO, and finally, this patient was successfully weaned from ECMO and the ventilator. No fibrosis lesions were found in the chest CT, and the patient recovered very well after leaving from the hospital for one month.
新型冠状病毒（COVID-19）已成为全球性大流行疫情。COVID-19 患者易进展为急性呼吸窘迫综合征（ARDS），甚至出现严重的 ARDS 和机械通气无效，死亡率极高。体外膜肺氧合（ECMO）为严重 COVID-19 患者提供有效的呼吸支持，并为治疗争取时间。本研究报道了 1 例 31 岁的 COVID-19 感染孕妇，她出现发热、呼吸困难和快速进展的 ARDS。患者通过早期机械通气和 ECMO 的联合治疗，肺功能逐渐恢复，最终成功撤离 ECMO 和呼吸机。胸部 CT 未见纤维化病变，患者出院后 1 个月恢复良好。
