Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome in Trauma Patients: Case Report

葉克膜針對創傷後引發急性呼吸窘迫症候群的應用：病例報告

顏至謙(Chih-Chien Yen) ； 劉光益(Kuang-Yi Liu) ； 奚聖川(Heng-Chuan Hsi)

《南臺灣醫學雜誌》 4卷3期 (2008/12) Pp. 140-145

https://doi.org/10.6726/MJST.200812_4(3).0003

摘要

對於因為肺衰竭接受呼吸治療而依舊無法維持身體器官氧氣需求的病人而言，葉克膜可以提供生命支持。儘管葉克膜主要是使用在新生兒呼吸衰竭或是接受心肺手術的病人身上，針對於某些因為創傷後產生急性呼吸窘迫症候群的病人也是有幫助的。本文旨在探討葉克膜針對於因為創傷後產生急性呼吸窘迫症候群病人的治療效益。我們提供了一個案例，說明在壓砸傷及低血容休克後產生急性呼吸窘迫症候群而接受標準治療失敗後，成功使用葉克膜的經驗。針對於因為創傷後產生急性呼吸窘迫症候群接受傳統治療失敗的病人而言，葉克膜是一種可實施的治療選擇。

關鍵字

葉克膜 ； 急性呼吸窘迫症候群 ； 創傷

並列摘要

Extracorporeal membrane oxygenation (ECMO) is a technique for providing life support in event of lung failure where normal respiratory processes are not able to maintain sufficient oxygenation of the body's organ systems. Although the most frequent use of ECMO has been in newborns with respiratory failure and for individuals undergoing cardiopulmonary surgery, it is also useful in selected cases of acute respiratory distress syndrome (ARDS), including those in trauma patients. To determine the effectiveness of ECMO for trauma patients with ARDS. We present a case of ARDS in a trauma patient who sustained a crushing injury, and subsequent hypovolemic shock. He was refractory to standard therapy but successfully managed with ECMO. ECMO is a viable treatment in individuals suffering from ARDS. It's an alternative therapy while conventional treatment fails.

並列關鍵字

extracorporeal membrane oxygenation ； acute respiratory distress syndrome ； ARDS ； trauma