Department of Cardiovascular Surgery, Clinical Research Institute, Kyusyu Medical Center, National Hospital Organization, Fukuoka, Japan.
Asian Cardiovasc Thorac Ann. 2022 Jul;30(6):733-736. doi: 10.1177/02184923221095724. Epub 2022 Apr 19.
We report a case of catheter-induced pulmonary hemorrhage, which had a favorable outcome on using extracorporeal membrane oxygenation. This procedure helped shunt pulmonary blood flow and significantly reduced bleeding from the pulmonary artery. Massive hemoptysis was observed while weaning the patient off cardiopulmonary bypass. Thus, catheter-induced pulmonary hemorrhage was suspected. After the bronchial blocker was inserted, extracorporeal membrane oxygenation was initiated to reduce pulmonary blood flow. The bronchial blocker was removed the day after the surgery, and the extracorporeal membrane oxygenation was withdrawn on the fourth day after the surgery. Tracheal bleeding did not recur during the postoperative period.
我们报告了一例因导管引起的肺出血病例，使用体外膜氧合治疗后病情好转。该治疗方法有助于分流肺血流，显著减少肺动脉出血。在患者脱离体外循环时，观察到大量咯血，因此怀疑为导管引起的肺出血。插入支气管阻塞器后，开始使用体外膜氧合以减少肺血流。手术后第二天取出支气管阻塞器，手术后第四天撤出体外膜氧合。术后期间未再次发生气管出血。
