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Korean J Crit Care Med > Volume 25(1); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(1): 37-42. doi: https://doi.org/10.4266/kjccm.2010.25.1.37
장기간 체외막형산소섭취 사용 후 호전된 중증 급성호흡곤란증후군 1예 -증례 보고-
박병훈*ㆍ장준*‡ㆍ김세규*‡ㆍ강영애*ㆍ손지영*ㆍ이경종*ㆍ윤여운*ㆍ정지예*ㆍ이삭†ㆍ박무석*‡
연세대학교 의과대학 *내과학교실 호흡기내과, †흉부외과학교실, ‡폐질환 연구소
A Case of Prolonged Extracorporeal Membrane Oxygenation Support for Severe Acute Respiratory Distress Syndrome: A Case Report
Byung Hoon Park, Joon Chang, Se Kyu Kim, Young Ae Kang, Ji Young Son, Kyung Jong Lee, Yoe Wun Yoon, Ji Ae Jung, Sak Lee, Moo Suk Park
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. pms70@yuhs.ac
2Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea.
3The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea.
ABSTRACT
When all the conventional treatments have failed for patients with acute respiratory distress syndrome (ARDS), extracorporeal membrane oxygenation (ECMO) can offer these patients a chance to survive. We report here on a case of successful treatment with prolonged ECMO support for a patient with severe ARDS. A 41-year-old female patient with acute A-viral hepatitis developed pneumonia and progressive ARDS. After tracheostomy, her clinical condition deteriorated despite proper antibiotic administration and other conventional treatments, including the recruitment maneuver and steroid use. Venoarterial ECMO was given for the management of refractory hypoxemia that developed 14 days after the initiation of mechanical ventilation. The duration of ECMO support was 4 weeks, and she was successfully weaned off ECMO and mechanical ventilation.
Key Words: acute respiratory distress syndrome; extracorporeal membrane oxygenation; intensive care
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