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新型冠状病毒肺炎感染后需要体外膜肺氧合治疗的完全肺康复:一例病例报告。

Complete pulmonary recovery after COVID-19 infection requiring extracorporeal membrane oxygenation: A case report.

作者信息

Firstenberg Michael S, Libby Matthew, Roberts Rachele, Petersen Courtney, Hanna Jennifer

机构信息

Department of Cardiothoracic Surgery, The Medical Center of Aurora, Aurora, CO, USA.

Department of Cardiac Perfusion, Specialty Care Perfusion Services, Nashville, TN, USA.

出版信息

Int J Crit Illn Inj Sci. 2020 Jul-Sep;10(3):155-157. doi: 10.4103/IJCIIS.IJCIIS_132_20. Epub 2020 Sep 22.

Abstract

Severe pulmonary complications associated with COVID-19 infections are a substantial source of morbidity and/or mortality. Extracorporeal membrane oxygenation (ECMO) has been shown to be a potentially useful therapy in the management of severe COVID-19 infection as a means to facilitate pulmonary recovery. Despite growing evidence to demonstrate the utility of ECMO for COVID-19 respiratory failure, little is known regarding the posthospital discharge recovery and functional status of these patients. Furthermore, concerns regarding potential long-term complications, but data are lacking. We illustrate a case of a previously healthy male, who was supported on ECMO for severe COVID-19 who demonstrated what appears to be a complete subjective and objective pulmonary recovery within a short time postdischarge. Our case provides some optimisms that critically-ill COVID-19 patients might recover completely and be able to return to functional lives.

摘要

与新型冠状病毒肺炎(COVID-19)感染相关的严重肺部并发症是发病和/或死亡的重要原因。体外膜肺氧合(ECMO)已被证明在治疗严重COVID-19感染中是一种潜在有用的治疗方法,作为促进肺部恢复的手段。尽管越来越多的证据表明ECMO对COVID-19呼吸衰竭有用,但对于这些患者出院后的恢复情况和功能状态知之甚少。此外,对于潜在的长期并发症存在担忧,但缺乏相关数据。我们举例介绍了一名先前健康的男性,他因严重COVID-19接受了ECMO支持,在出院后短时间内实现了主观和客观上看似完全的肺部恢复。我们的病例提供了一些乐观的信息,即重症COVID-19患者可能完全康复并能够恢复正常功能生活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/145a/7771626/029ae38f5cfb/IJCIIS-10-155-g001.jpg

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