應用體外膜氧合系統於孕婦罹患A型流感併發急性呼吸窘迫症治療：案例報告及文獻回顧

Extracorporeal Membrane Oxygenation for Influenza A Related Severe Acute Respiratory Distress Syndrome in A Pregnant Woman: A Case Report and Literature Review

謝志成(Chih-cheng Hsieh) ； 黃于芳(Yu-Fang Huang) ； 蔡孟達(Meng-Ta Tsai) ； 陳昌文(Chang-Wen Chen)

《內科學誌》 26卷6期 (2015/12) Pp. 353-362

https://doi.org/10.6314/JIMT.2015.26(6).07

摘要

A型流感導致急性呼吸窘迫症為病患死亡主因之一。免疫不全、糖尿病、孕婦及過度肥胖都是流感併發重症的高危險族群。我們報告一例懷孕34周的35歲女性因A型流感併發重症，經由緊急剖腹產後，因嚴重缺氧接受體外膜氧合系統成功治療的個案。透過此個案討論急性呼吸窘迫症目前治療進展、體外膜氧合系統於急性呼吸窘迫症之治療角色及類固醇於流感併發急性呼吸窘迫症之使用。

關鍵字

體外膜氧合系統 ； 流行性感冒 ； 急性呼吸窘迫症 ； 孕婦

並列摘要

Acute respiratory distress syndrome is a major cause of death in patients with influenza A infection. Immunocompromised host, diabetes mellitus, pregnancy and obese are risk factors for severe complicated influenza. We report a 35-year-old multigravida women at 34 weeks of gestation with acute respiratory distress syndrome caused by influenza A virus who was successfully treated by extracorporeal membrane oxygenation. We further discuss about the current treatment of acute respiratory distress syndrome, the use of extracorporeal membrane oxygenation in acute respiratory distress syndrome and the current evidence about corticosteroids in influenza A related acute respiratory distress syndrome.

並列關鍵字

Extracorporeal membrane oxygenation ； Influenza ； Acute respiratory distress syndrome ； Pregnancy