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体外膜肺氧合(ECMO)在 COVID-19 婴儿中的应用:病例报告并文献复习。

Extracorporeal Membrane Oxygenation (ECMO) in an Infant with COVID-19: A Case Report with Literature Review.

机构信息

Neonatal Intensive Care Unit and Neonatal Accompaniment Unit, Azienda Ospedaliero-Universitaria Policlinico "Rodolico-San Marco", San Marco Hospital, University of Catania, Catania, Italy.

Unit of Clinical Pediatrics, Azienda Ospedaliero-Universitaria Policlinico, "Rodolico-San Marco", San Marco Hospital, Catania, Italy.

出版信息

Curr Pediatr Rev. 2024;20(3):370-374. doi: 10.2174/1573396320666230417103203.

Abstract

BACKGROUND

SARS-CoV-2 infection tends to be lethal to the elderly population. However, sometimes children are also involved.

CASE PRESENTATION

We present the case of a female infant with a corrected gestational age of 39 weeks and 4 days with severe COVID-19 pneumonia and co-infection of that was supported with extracorporeal membrane oxygenation (ECMO).

RESULTS

We reported the clinical case and reviewed the literature articles on ECMO and Covid-19 in infants and children up to two years of age.

CONCLUSION

It is crucial to be aware of certain risk factors (severe prematurity, coinfection), which, when linked to SARS-CoV-2 infection, must immediately alert us to the possible criticality of the clinical condition of patients, as highlighted by our own clinical case.

摘要

背景

SARS-CoV-2 感染倾向于对老年人群致命。然而,有时儿童也会受到影响。

病例介绍

我们介绍了一名女性婴儿的病例,其校正胎龄为 39 周零 4 天,患有严重的 COVID-19 肺炎,并合并有需要体外膜氧合(ECMO)支持的感染。

结果

我们报告了临床病例,并回顾了关于婴儿和 2 岁以下儿童的 ECMO 和 Covid-19 的文献文章。

结论

必须注意某些危险因素(严重早产、合并感染),当这些危险因素与 SARS-CoV-2 感染相关时,必须立即引起我们对患者临床情况可能的严重性的警惕,正如我们自己的临床病例所强调的那样。

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