Sakai M, Ohteki H, Doi K, Narita Y
Department of Cardiovascular Surgery, Saga Prefectural Hospital Koseikan, Japan.
Ann Thorac Surg. 1996 Sep;62(3):885-7.
A 23-year-old man was transferred to our hospital in an unconscious state due to hypercapnea with massive subcutaneous emphysema secondary to status asthmaticus. Mechanical ventilation was ineffective for removal of carbon dioxide and oxygenation. After the initiation of extracorporeal lung assist the patient was able to effectively clear his secretions. This resulted in marked improvement in his pulmonary compliance. There were no hemorrhagic pulmonary or hematologic complications. This is the first patient in whom we have used venovenous bypass in the treatment of status asthmaticus.
一名23岁男性因哮喘持续状态继发高碳酸血症伴大量皮下气肿，以昏迷状态被转送至我院。机械通气在排出二氧化碳和氧合方面无效。开始体外肺辅助后，患者能够有效清除分泌物。这导致其肺顺应性显著改善。未出现肺部出血或血液学并发症。这是我们首例使用静脉-静脉旁路治疗哮喘持续状态的患者。
