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題 名 | Successful Application of Extracorporeal Membrane Oxygenation in an Adult Burn Patient with Smoke Inhalation and Adult Respiratory Distress Syndrome after Explosive Injury by Flash Bang Grenade=葉克膜在成年人大面積燒傷合併成人呼吸窘迫症候群臨床應用之成功案例--報告及文獻回顧 |
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作 者 | 施宥任; 王志信; 張舜程; 鄧守成; 陳錫根; 陳天牧; 王先震; 戴念梓; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 23:1 2014.03[民103.03] |
頁 次 | 頁68-73 |
分類號 | 415.47 |
關鍵詞 | 葉克膜; 燒傷; 吸入性灼傷; 成人呼吸窘迫症候群; Burn injury; Adult respiratory distress syndrome; Extracorporeal membrane oxygenation; Inhalation injury; |
語 文 | 英文(English) |
中文摘要 | 背景:成年人大面積燒傷最常造成的死因就是成人呼吸窘迫症候群。目的及目標:我們利用葉克膜成功治療一位大面積燒傷合併有吸入性灼傷及後續引發成人呼吸窘迫症候群的成年病患。材料及方法:一名48歲男子在拆卸處理閃光彈時,發生閃光彈爆炸,造成全身百分之五十五體表面積的重度燒傷,另外合併有吸入性灼傷與雙側脛、腓骨開放性骨折;於住院第五天時,病患發生成人呼吸窘迫症候群,經傳統呼吸器治療後仍無法維持病患正常之組織血氧供應,此時即啟用葉克膜治療,並於住院第七天時,在維持葉克膜治療的情況下,順利進行燒傷傷口之清創手術。結果:葉克膜總共使用了384個小時,且病患於住院第四十天時成功脫離呼吸器。結論:根據此病例之治療經驗,當重度燒傷的成年病患合併有嚴重吸入性灼傷且後續併發成人呼吸窘迫症候群時,如果傳統呼吸器治療確定無效時,靜脈-靜脈迴路模式的葉克膜可以有效改善組織之血氧供應,增加病患存活的機會。 |
英文摘要 | Background:The major cause of mortality in severe burn injury is adult respiratory distress syndrome (ARDS).Aim and Objectives:We report the successful use of extracorporeal membrane oxygenation (ECMO) to treat an adult burn patient with inhalation injury and subsequent ARDS.Materials and Methods:The patient was a 48-year-old man who had extensive explosive burn injuries (55% total body surface area) to the face, chest wall, back, and left arm complicated by open fractures of both lower legs and inhalation injury. Immediate ventilator support and adequate fluid resuscitation were provided; however, low oxygen saturation occurred at day 5, and refractory ARDS was diagnosed with failed volume control ventilation. He was then treated with veno-venous ECMO and subsequently received wound debridement during ECMO support at day 7.Results:The duration of ECMO use was 384 hours, and he was weaned off the ventilator at day 40 with gradual improvement in respiratory parameters.Conclusion:The outcome indicated that ECMO may be useful for overcoming intractable ARDS complicated with extensive burns and inhalation injury. |
本系統中英文摘要資訊取自各篇刊載內容。