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体外膜肺氧合作为棘球蚴囊肿破裂患者术前的桥接治疗：一例报告及文献综述

Extracorporeal Membrane Oxygenation as a Bridge Therapy Prior to Surgery in a Patient With Echinococcus Cyst Rupture: A Case Report and Literature Review.

作者信息

Kastoris Antonia, Efseviou Christos, Rodotheou Dania, Manolis Emmanouil, Tanos Marios

机构信息

Intensive Care Unit, Nicosia General Hospital, Nicosia, CYP.

Cardiothoracic Surgery, Nicosia General Hospital, Nicosia, CYP.

出版信息

Cureus. 2024 May 29;16(5):e61302. doi: 10.7759/cureus.61302. eCollection 2024 May.

DOI:10.7759/cureus.61302
PMID:38947597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11212579/
Abstract

Tapeworms of the genus Echinococcus cause parasitic disease in humans through the ingestion of eggs in contaminated food and water. Rupture of slowly enlarging cysts in the liver, lungs, and other organs can be life-threatening and many deaths are recorded yearly worldwide. Surgery and removal of such cysts remain the most effective treatment. Veno-venous extracorporeal membrane oxygenation (ECMO) routinely placed in the ICU in patients with acute respiratory distress syndrome (ARDS), may provide time and adequate oxygenation for the completion of surgery in echinococcosis cases. In this article, we present a rare case of pulmonary echinococcosis in a young patient requiring ECMO support prior to surgery.

摘要

棘球绦虫属的绦虫通过人类摄入受污染食物和水中的虫卵引发寄生虫病。肝脏、肺和其他器官中缓慢增大的囊肿破裂可能危及生命，全球每年都有许多死亡病例记录在案。手术切除此类囊肿仍然是最有效的治疗方法。对于急性呼吸窘迫综合征（ARDS）患者，通常在重症监护病房（ICU）放置静脉-静脉体外膜肺氧合（ECMO），这可能为棘球蚴病患者的手术完成提供时间和充足的氧合。在本文中，我们介绍了一名年轻患者罕见的肺棘球蚴病病例，该患者在手术前需要ECMO支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed8/11212579/526d91783572/cureus-0016-00000061302-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed8/11212579/41aeef504606/cureus-0016-00000061302-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed8/11212579/010d2c86295d/cureus-0016-00000061302-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed8/11212579/526d91783572/cureus-0016-00000061302-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed8/11212579/41aeef504606/cureus-0016-00000061302-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed8/11212579/010d2c86295d/cureus-0016-00000061302-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed8/11212579/526d91783572/cureus-0016-00000061302-i03.jpg

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本文引用的文献

1
Extracorporeal Membrane Oxygenation (ECMO) Use as Supportive Therapy in a Patient With Acute Respiratory Distress Syndrome Due to Rupture of a Pulmonary Hydatid Cyst.体外膜肺氧合（ECMO）在一名因肺包虫囊肿破裂导致急性呼吸窘迫综合征患者中的支持性治疗应用
Cureus. 2024 Feb 29;16(2):e55223. doi: 10.7759/cureus.55223. eCollection 2024 Feb.
2
Complications Associated With Venovenous Extracorporeal Membrane Oxygenation-What Can Go Wrong?静脉-静脉体外膜肺氧合相关并发症——可能出现什么问题？
Crit Care Med. 2022 Dec 1;50(12):1809-1818. doi: 10.1097/CCM.0000000000005673. Epub 2022 Sep 12.
3
Extracorporeal membrane oxygenation (ECMO) as bridge therapy to surgery in a patient with acute respiratory distress syndrome (ARDS) due to rupture of a pulmonary hydatid cyst.
体外膜肺氧合（ECMO）作为一名因肺包虫囊肿破裂导致急性呼吸窘迫综合征（ARDS）患者手术的桥接治疗。
Arch Bronconeumol. 2021 Jul;57(7):503-504. doi: 10.1016/j.arbr.2021.05.005. Epub 2021 May 14.
4
Extracorporeal Membrane Oxygenation Use in Thoracic Surgery.体外膜肺氧合技术在胸外科手术中的应用
Membranes (Basel). 2021 May 31;11(6):416. doi: 10.3390/membranes11060416.
5
Extracorporeal membrane oxygenation (ECMO) as salvage treatment for pulmonary Echinococcus granulosus infection with acute cyst rupture.体外膜肺氧合（ECMO）作为肺细粒棘球绦虫感染伴急性囊肿破裂的挽救治疗方法。
Int J Infect Dis. 2017 Nov;64:47-49. doi: 10.1016/j.ijid.2017.09.001. Epub 2017 Sep 8.
6
Echinococcosis: a review.棘球蚴病综述
Int J Infect Dis. 2009 Mar;13(2):125-33. doi: 10.1016/j.ijid.2008.03.037. Epub 2008 Oct 19.