Morneault L, Johnston A, Perreault T
Department of Nursing, Montreal Children's Hospital, McGill University, Montreal, Canada.
ASAIO J. 1996 Jul-Aug;42(4):321-3.
The authors describe, to their knowledge, the first management of acute airway obstruction in a newborn infant using Extracorporeal Membrane Oxygenation (ECMO). The infant had a primary diagnosis of gram negative sepsis complicated by pulmonary hemorrhage resulting in a left main stem bronchus obstruction. Despite full ventilatory support, the infant could not be adequately oxygenated. The infant was placed on venovenous ECMO. Airway management also included vigorous physiotherapy, suctioning, and bronchoscopy. The infant was successfully weaned from ECMO after 208 hours. The authors suggest that ECMO could be useful to manage life threatening airway obstruction in the neonate.
据作者所知，本文描述了首例使用体外膜肺氧合（ECMO）治疗新生儿急性气道梗阻的病例。该婴儿的初步诊断为革兰氏阴性败血症并发肺出血，导致左主支气管梗阻。尽管给予了充分的通气支持，但婴儿仍无法获得足够的氧合。该婴儿接受了静脉-静脉ECMO治疗。气道管理还包括积极的物理治疗、吸痰和支气管镜检查。208小时后，该婴儿成功脱离ECMO。作者认为，ECMO可能有助于治疗新生儿危及生命的气道梗阻。
