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題名 | Acute Respiratory Distress Syndrome with Septic Shock Rescued by Long-term Use of Extracorporeal Membrane Oxygenation=兒童之肺炎併發急性呼吸窘迫症與敗血性休克:以體外維生系統治療之病例報告 |
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作者 | 吳協兆; 侯秀琦; 胡珀元; 李君儀; | 書刊名 | Acta Cardiologica Sinica |
卷期 | 20:4 2004.12[民93.12] |
頁次 | 頁237-240 |
分類號 | 417.5351 |
關鍵詞 | 體外維生系統; 急性呼吸窘迫症; 肺炎; Extracorporeal membrane oxygenation; Acute respiratory distress syndrome; Pneumonia; |
語文 | 英文(English) |
中文摘要 | 我們報告一個5歲半的男童在一次的肺炎併發急性呼吸窘迫症與敗血性休克之後,生命徵象與血中含氧量在高劑量的強心劑與呼吸器的使用下,仍無法維持穩定,成功地以體外維生系統(ECMO)治療的經驗。首先使用靜脈動動脈型的體外維生系統,在生命徵象穩定之後,改爲靜脈靜型的體外維生系統。體外維生系統總共使用684小時,氣管內管亦在體外維生系統移除7天後拔除。病人狀況良好,爲紐約心臓學會功能分類第一級。 |
英文摘要 | We report a 5-year-6-month-old case of pneumonia complicating with septic shock and acute respiratory distress syndrome. He was successfully treated with extracorporeal membrane oxygenation (ECMO). Veno-arterial mode of ECMO was used at first and it was shifted to veno-venous mode of ECMO after hemodynamics were stabilized. Total supporting duration of ECMO was 684 hours. The patient is well now, in functional class I of the New York Heart Association. |
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