产后静脉-静脉体外膜肺氧合（VV-ECMO）俯卧通气期间腹壁血肿：一例报告及系统评价
Abdominal wall hematoma after prone ventilation during postpartum VV-ECMO: a case report and systematic review.
作者信息
He Guosen, Fan Xuemei, Wang Shuai, Dong Yu
机构信息
Department of Critical Care, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Department of Neurology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
出版信息
Front Med (Lausanne). 2025 Jul 9;12:1605965. doi: 10.3389/fmed.2025.1605965. eCollection 2025.
BACKGROUND
Pregnant women with ARDS are rare in themselves, and the rare complication of an abdominal wall hematoma during VV-ECMO is extremely aggressive. We report this rare case with the aim of informing clinicians to be alert to this serious complication and to share our treatment experience.
CASE PRESENTATION
A 42-year-old Chinese woman was infected with viral pneumonia at 26 weeks of gestation, which progressed to severe ARDS. After emergency termination of pregnancy, she was placed on VV-ECMO support and ventilated in the prone position. During this period, an unexplained drop in hemoglobin occurred, so she was withdrawn from the VV-ECMO support, and was diagnosed with an abdominal wall hematoma on CT examination, which was later cured with conservative treatment.
CONCLUSION
Maternal prone abdominal wall hematoma found during VV-ECMO is rare and prone to adverse outcomes. We remind clinicians to be aware of this rare complication and prevent it.
背景
患有急性呼吸窘迫综合征（ARDS）的孕妇本身就很罕见，而在静脉-静脉体外膜肺氧合（VV-ECMO）期间出现腹壁血肿这种罕见并发症则极具侵袭性。我们报告这一罕见病例，旨在提醒临床医生警惕这种严重并发症，并分享我们的治疗经验。
病例介绍
一名42岁的中国女性在妊娠26周时感染病毒性肺炎，病情进展为严重ARDS。紧急终止妊娠后，她接受了VV-ECMO支持并俯卧位通气。在此期间，血红蛋白出现不明原因下降，因此撤掉了VV-ECMO支持，CT检查诊断为腹壁血肿，后来经保守治疗治愈。
结论
在VV-ECMO期间发现的孕产妇俯卧位腹壁血肿罕见且易出现不良后果。我们提醒临床医生注意这种罕见并发症并加以预防。
Zotero 插件