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題 名 | Use of Extracorporeal Membrane Oxygenation to Rescue a Child with Acute Respiratory Distress Syndrome=使用體外膜氧合器拯救一位急性呼吸窘迫症之病童 |
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作 者 | 謝榮賢; 陳益祥; 韓吟宜; 謝清河; 張重義; 柯文哲; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 99:3 2000.03[民89.03] |
頁 次 | 頁257-260 |
分類號 | 417.53 |
關鍵詞 | 體外膜氧合器; 急性呼吸窘迫症; Cardiac surgery; Acute respiratory distress syndrome; Extracorporeal membrane oxygenation; |
語 文 | 英文(English) |
英文摘要 | Acute respiratory distress syndrome (ARDS) carries a high mortality of about 60%. The results of conventional treatments for ARDS are poor. We report the use of extracorporeal membrane oxygenation (ECMO) to rescue a child with ARDS. The patient, a 7-year-old boy, underwent a Ross procedure and mitral valvuloplasty because of severe aortic and mild mitral regurgitation. ARDS due to massive transfusion and prolonged cardiopulmonary bypass developed in the early postoperative period. Hypoxemia persisted despite conventional treatments, including pressure-controlled ventilation and high-frequency ventilation. Finally, venovenous ECMO was used to rescue the patient. With ECMO support, gas exchange was well maintained with a lower ventilator setting, and ventilator-induced lung injuries were avoided. ECMO was used for 183 hours, at which point the boy was weaned without complications. His recovery was uneventful. At the latest follow-up, 6 months after the operation, he was in New York Heart Association function class I and had no complaints of lung disease. This case suggests that venovenous ECMO can be a rescue method for patients with ARDS that is refractory to conventional treatments. |
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