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严重气管狭窄患者甲状腺手术的体外膜肺氧合

Extracorporeal membrane oxygenation for thyroid surgery in patients with severe tracheal stenosis.

作者信息

Zhao Yongjun, Li Zhe, Zhang Li, Dong Jianjun, Xing Chaoyang, Yao Xingzhu, Li Chunshan, Wang Yi, Guan Yulong

机构信息

Department of Anesthesiology, First People's Hospital of Guangyuan, Guangyuan, China.

Department of Extracorporeal Circulation, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

SAGE Open Med Case Rep. 2022 Dec 14;10:2050313X221139022. doi: 10.1177/2050313X221139022. eCollection 2022.

Abstract

Venovenous extracorporeal membrane oxygenation is effective for maintaining gas exchange in patients with respiratory failure or severe tracheal stenosis. Perioperative anesthetic management of severe airway obstruction can be associated with ventilation or intubation difficulties. Consequently, venovenous extracorporeal membrane oxygenation could be an option for treating such patients to avoid potential risks. However, only a limited number of similar cases have been reported. Therefore, we have summarized two cases to provide theoretical and practical references for treating patients with respiratory failure or severe tracheal stenosis using extracorporeal membrane oxygenation.

摘要

静脉-静脉体外膜肺氧合对维持呼吸衰竭或严重气管狭窄患者的气体交换有效。严重气道梗阻患者围手术期的麻醉管理可能会伴有通气或插管困难。因此,静脉-静脉体外膜肺氧合可能是治疗此类患者以避免潜在风险的一种选择。然而,仅有有限数量的类似病例被报道。因此,我们总结了两例病例,为使用体外膜肺氧合治疗呼吸衰竭或严重气管狭窄患者提供理论和实践参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7e3/9756350/6f5a38b104a9/10.1177_2050313X221139022-fig1.jpg

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