中国实用内科杂志2024，Vol.44Issue(3)：193-197,234,6.DOI:10.19538/j.nk2024030104
体外膜肺氧合辅助下支气管动脉栓塞联合气管镜介入治疗极危重大咯血1例
Extracorporeal membrane oxygenation-assisted bronchial artery embolization combined with tracheoscopic intervention in the treatment of extremely critical massive hemoptysis:report on one case
摘要
Abstract
Massive hemoptysis is a respiratory emergency and critical condition,and simple ventilator support is often unable to maintain oxygenation when it is combined with severe airway obstruction and respiratory failure.Extracorporeal membrane oxygenation is an advanced life support technique,and with the development of ECMO technology,non-anticoagulation or low-dose anticoagulation ECMO has been increasingly used in the treatment of massive hemoptysis,thus creating time for subsequent hemostasis,airway contouring and other treatments.In this article,we report a case of massive hemoptysis combined with acute respiratory failure due to bronchiectasis and the process of treatment for extremely critical hemoptysis by bronchial artery embolization and tracheoscopic intervention with the assistance of non-anticoagulation ECMO,in order to improve the clinicians'experience in the understanding,diagnosis and treatment of patients with extremely critical massive hemoptysis.关键词
体外膜肺氧合/大咯血/气管镜介入治疗/支气管动脉栓塞Key words
extracorporeal membrane oxygenation/massive hemoptysis/tracheoscopic intervention/bronchial artery embolization分类
医药卫生引用本文复制引用
侯海佳,代冰..体外膜肺氧合辅助下支气管动脉栓塞联合气管镜介入治疗极危重大咯血1例[J].中国实用内科杂志,2024,44(3):193-197,234,6.基金项目
辽宁省科技攻关专项(2022020623-JH1/108) （2022020623-JH1/108）
沈阳市科技计划项目(21-172-9-2) （21-172-9-2）
