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持续负压腹部疗法成功治疗一例重度肥胖吸入性烧伤致严重呼吸衰竭并需静脉-静脉体外膜肺氧合的患者：病例报告

Successful Management With Continuous Negative Abdominal Pressure Therapy in a Severely Obese Patient With Inhalation Burn-Induced Severe Respiratory Failure Requiring Veno-Venous Extracorporeal Membrane Oxygenation: A Case Report.

作者信息

Kawahara Naoki, Matsui Hiroki, Morishita Koji

机构信息

Trauma and Acute Care Surgery, Tokyo Medical and Dental University Hospital, Tokyo, JPN.

出版信息

Cureus. 2024 Apr 2;16(4):e57436. doi: 10.7759/cureus.57436. eCollection 2024 Apr.

DOI:10.7759/cureus.57436
PMID:38699094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11063806/
Abstract

Continuous negative abdominal pressure (CNAP) therapy effectively provides respiratory support in patients with respiratory failure and severe obesity; however, its use in clinical practice remains limited. In this case, we report a significant improvement in the respiratory condition of a patient with severe obesity and inhalation burns following the application of CNAP in addition to venovenous extracorporeal membrane oxygenation (V-V ECMO) and mechanical ventilation. The patient was able to wean off these devices successfully. This case highlights the potential of CNAP therapy as an adjunct treatment for severe respiratory failure, particularly in obese patients for whom conventional interventions are insufficient.

摘要

持续负压腹部（CNAP）疗法能有效为呼吸衰竭和严重肥胖患者提供呼吸支持；然而，其在临床实践中的应用仍然有限。在此病例中，我们报告了一名严重肥胖且吸入性烧伤患者，在接受静脉-静脉体外膜肺氧合（V-V ECMO）和机械通气治疗的基础上应用CNAP后，呼吸状况有显著改善。该患者能够成功撤掉这些设备。此病例凸显了CNAP疗法作为严重呼吸衰竭辅助治疗手段的潜力，尤其是对于传统干预措施不足的肥胖患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/07be5e350958/cureus-0016-00000057436-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/0e69d500ae29/cureus-0016-00000057436-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/124f2095ede6/cureus-0016-00000057436-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/b750a2fe9235/cureus-0016-00000057436-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/07be5e350958/cureus-0016-00000057436-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/0e69d500ae29/cureus-0016-00000057436-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/124f2095ede6/cureus-0016-00000057436-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/b750a2fe9235/cureus-0016-00000057436-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a2/11063806/07be5e350958/cureus-0016-00000057436-i04.jpg

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