摘要
体外膜肺氧合(ECMO)技术主要用于对重症心肺功能衰竭患者提供持续的体外呼吸与循环,以维持患者生命。本研究报告1例13岁男性患儿,诊断为急性血行播散性肺结核合并巨细胞病毒性肺炎,短期内并发急性呼吸窘迫综合征及噬血综合征,氧合指数进行性下降,机械通气治疗无改善,在积极抗结核抗感染抗病毒治疗同时,及时给予ECMO治疗,患儿病情迅速好转,撤离ECMO及呼吸机,病情稳定出院。本例患儿抢救成功的关键是及时采取ECMO支持疗法后采取肺保护通气策略。ECMO作为一种生命支持疗法,可以明显提高抢救成功率,为疾病治疗及肺功能恢复争取时间。
Extracorporeal membrane oxygenation(ECMO)technology is mainly used to provide continuous extracorporeal respiration and circulation for patients with severe cardiopulmonary failure so as to maintain the life of patients.This study reported a 13-year-old boy with acute hematogenous disseminated tuberculosis complicated with cytomegalovirus pneumonia.In a short time,he was complicated with acute respiratory distress syndrome and hemophagocytic syndrome.The oxygenation index decreased gradually,but the mechanical ventilation had no improvement in symptoms.After implementation of active anti-tuberculosis,anti-infection,anti-virus and ECMO therapies,the patient′s condition improved rapidly,ECMO and ventilator were removed,and the patient was discharged with stable condition.The key to the successful rescue of this case is to take ECMO support therapy in time and then take lung protection ventilation strategy.As a life support therapy,ECMO can significantly improve the success rate of rescue and gain time for disease treatment and pulmonary function recovery.
作者
马南兰
茅惠娟
张亚平
陈杰
吴志嵩
韩红洋
MA Nanlan;MAO Huijuan;ZHANG Yaping;CHEN Jie;WU Zhisong;HAN Hongyang(Second Department of Tuberculosis,Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine,Jiangsu Provincial Hospital for Infectious Diseases,Nanjing City Second Hospital in Jiangsu Province,Nanjing City Public Health Medical Center in Jiangsu Province,Nanjing,Jiangsu,211100)
出处
《实用临床医药杂志》
CAS
2021年第4期29-33,共5页
Journal of Clinical Medicine in Practice
关键词
体外膜肺氧合技术
血行播散性肺结核
巨细胞病毒性肺炎
急性呼吸窘迫综合征
extracorporeal membrane oxygenation technology
hematogenous disseminated tuberculosis
cytomegalovirus pneumonia
acute respiratory distress syndrome
