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术中体外膜肺氧合抢救一名右主支气管完全撕脱的多发伤患儿:病例报告

Intraoperative Extracorporeal Membrane Oxygenation Rescue of a Polytrauma Patient With a Complete Right Mainstem Bronchus Avulsion: A Pediatric Case Report.

作者信息

Chung Stacey, Landmann Alessandra, Johnson Jeremy J, Sisk Joseph M

机构信息

From the Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina.

Department of Surgery, University of Oklahoma, Oklahoma City, Oklahoma.

出版信息

A A Pract. 2023 Mar 20;17(3):e01670. doi: 10.1213/XAA.0000000000001670. eCollection 2023 Mar 1.

Abstract

In pediatric patients experiencing blunt chest trauma, tracheobronchial avulsion injuries are rare but frequently fatal. We report the case of a 13-year-old boy who presented to our trauma center following a semitruck versus pedestrian collision. During his operative course, he developed refractory hypoxemia requiring emergency venovenous (VV) extracorporeal membrane oxygenation (ECMO) support. After stabilization, a complete right mainstem bronchus avulsion was identified and treated.

摘要

在遭受钝性胸部创伤的儿科患者中,气管支气管撕裂伤很罕见,但往往是致命的。我们报告一例13岁男孩的病例,该男孩在一辆半挂车与行人碰撞后被送往我们的创伤中心。在手术过程中,他出现难治性低氧血症,需要紧急静脉-静脉(VV)体外膜肺氧合(ECMO)支持。病情稳定后,发现并治疗了一处完全性右主支气管撕裂。

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