使用呼吸器腦瘤病人之國際航空轉送

International Aeromedical Evacuation for a Brain Tumor Patient on Ventilator

蔣明富(Ming-Fu Chiang) ； 蔡行瀚(Shin-Han Tsai) ； 邱文達(Wen-Ta Chiu) ； 曾昭文(Chiu-Man Tsang)

《中華民國航空醫學暨科學期刊》 17卷1期 (2003/06) Pp. 53-57

https://doi.org/10.7011/JAMSRC.200306.0053

摘要

如何將一位使用呼吸器的腦瘤病人，經國際航班進行航空醫療轉送，仍是航空醫學的一項挑戰。病人是一位60歲女性，罹患小腦與腦幹之血管母細胞瘤，曾經於1993與1995年兩次於日本東京女子醫科大學接受開刀手術與珈瑪刀放射線治療。
2001年7月，該病人因突發性吸入性肺炎造成急性呼吸衰竭而住院，經胸腔內科治療穩定後，病人因水腦症造成腦壓升高，及持續性頭痛而轉至神經外科，經施行腦室腹膜分流手術治療，術後病人症狀獲得改善。但病人之呼吸器卻仍因腦幹部位腫瘤壓迫而無法拿除，家屬要求遂轉返日本接受進一步的治療，故安排本次的飛航轉送過程。
此病人經醫療團隊細心照顧下，終能安全轉送至原先手術治療的醫院急診處，並轉往加護病房。本文將對此使用呼吸器病人之國外航空轉送特殊病例，加以討論。

關鍵字

空中醫療轉送 ； 腦瘤 ； 水腦症 ； 呼吸器

並列摘要

Aeromedical evacuation for a brain tumor patient who was on ventilator via an international airline is still a challenge to the field of aeromedicine. We reported a 60 years old woman who suffered from a hemangioblastoma of left cerebellum which had been operated on twice and irradiated postoperatively with gammaknife at Tokyo Woman University Hospital in 1993 and 1995. On July 9 2001, She got choking with aspiration pneumonia and was admitted at Mackay Memorial Hospital. Following the pneumonia was well controlled, she got persistent headaches The brain CT revealed progressive hydrocephalus. She received VP shunt on October 9 2001. She got better postoperatively. Due to brain stem compression from the extended cerebellar tumor, she became ventilator-dependent. Under the family's request for transfer, this repatriation was arranged by International SOS, Taipei. The whole course of evacuation was uneventful. We reported this case and reviewed the literature.

並列關鍵字

Aeromedical evacuation ； Aeromedicine ； Brain tumor ； Hydrocephalus ； Ventilator