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A Case of Pumpless Extracorporeal Interventional Lung Assist for Severe Respiratory Failure: A Case Report

机译:严重呼吸衰竭无泵体外介入肺辅助治疗一例

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Pumpless extracorporeal interventional lung assist (iLA) is a promising respiratory rescue system permitting protective lung ventilation for severe respiratory failure. Herein, we report a case of prolonged iLA support with regards to a patient exhibiting severe hypercapnic respiratory failure. A 51-year-old female patient with metastatic endometrial carcinoma developed progressive hospital-acquired pneumonia and was intubated in order to restore respiratory failure. Despite maximal mechanical ventilator care, her clinical condition deteriorated due to severe respiratory acidosis. The iLA was performed for the management of refractory hypercapnia. The total duration of iLA support was 23 days without any vascular complications, however, she could not survive because of oxygenation failure.
机译:无泵体外介入性肺辅助(iLA)是一种有前途的呼吸救援系统,可为严重的呼吸衰竭提供保护性的肺通气。在此,我们报告了对表现出严重高碳酸血症性呼吸衰竭的患者延长iLA支持的情况。一名51岁女性转移性子宫内膜癌患者发展为医院获得性进行性肺炎,并进行插管以恢复呼吸衰竭。尽管进行了最大程度的机械呼吸机护理,但由于严重的呼吸性酸中毒,她的临床状况恶化了。进行iLA是为了治疗难治性高碳酸血症。 iLA支持的总持续时间为23天,没有任何血管并发症,但是由于氧合作用失败,她无法生存。

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