Roberta Kaplow is Clinical Nurse Specialist in the Acute Respiratory ICU, Emory University Hospital, 1364 Clifton Rd NE, Atlanta, GA 30319 (
Casey Miller is ECMO Coordinator, Emory University Hospital, Atlanta, Georgia.
AACN Adv Crit Care. 2022 Sep 15;33(3):247-252. doi: 10.4037/aacnacc2022111.
Extracorporeal membrane oxygenation is emerging as a vital resource for survival of patients with acute respiratory distress syndrome related to COVID-19. Although recent research provides much insight into the advantages of extracorporeal membrane oxygenation in this patient population, little has been published on its use in pregnancy. This case study describes the use of venovenous extracorporeal membrane oxygenation in a young pregnant woman with acute respiratory distress syndrome due to COVID-19. It illustrates the benefits of a multidisciplinary approach to this treatment modality, allowing time for a fetus to become viable while preserving the life of the mother. In this case, the mother was able to return home after receiving this therapy and resume normal activities of daily living independently.
体外膜肺氧合作为一种重要的资源，正在为与 COVID-19 相关的急性呼吸窘迫综合征患者的生存带来希望。尽管最近的研究为体外膜肺氧合在这一患者群体中的优势提供了很多深入的了解，但关于其在妊娠中的应用却鲜见报道。本病例研究描述了一名年轻孕妇因 COVID-19 导致急性呼吸窘迫综合征时使用静脉-静脉体外膜肺氧合的情况。它说明了多学科方法在这种治疗模式中的益处，使胎儿有时间变得可行，同时又能维持母亲的生命。在这种情况下，母亲在接受这种治疗后能够回家，并独立恢复正常的日常生活活动。
