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体外膜肺氧合成功治疗妊娠和产后合并严重 COVID-19 相关急性呼吸窘迫综合征患者。

Successful Treatment of Pregnant and Postpartum Women With Severe COVID-19 Associated Acute Respiratory Distress Syndrome With Extracorporeal Membrane Oxygenation.

机构信息

From the Division of Pulmonary, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, Texas.

Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Boston, Massachusetts.

出版信息

ASAIO J. 2021 Feb 1;67(2):132-136. doi: 10.1097/MAT.0000000000001357.

Abstract

There are limited data on the use of extracorporeal membrane oxygenation (ECMO) for pregnant and peripartum women with COVID-19 associated acute respiratory distress syndrome (ARDS). Pregnant women may exhibit more severe infections with COVID-19, requiring intensive care. We supported nine pregnant or peripartum women with COVID-19 ARDS with ECMO, all surviving and suffering no major complications from ECMO. Our case series demonstrates high-maternal survival rates with ECMO support in the management of COVID-19 associated severe ARDS, highlighting that these pregnant and postpartum patients should be supported with ECMO during this pandemic.

摘要

关于体外膜肺氧合(ECMO)在 COVID-19 相关急性呼吸窘迫综合征(ARDS)孕妇和围产期妇女中的应用,数据有限。COVID-19 孕妇感染可能更严重,需要重症监护。我们用 ECMO 支持了 9 例 COVID-19 ARDS 孕妇或围产期妇女,所有患者均存活,且未因 ECMO 出现重大并发症。我们的病例系列表明,在 COVID-19 相关严重 ARDS 的治疗中,ECMO 支持可实现较高的孕产妇存活率,这表明在大流行期间,应使用 ECMO 支持这些孕妇和产后患者。

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