Extracorporeal Membrane Oxygenation for Acute Life-Threatening Neurogenic Pulmonary Edema following Rupture of an Intracranial Aneurysm

被引：21

作者：

Hwang, Gyo Jun ^{[1
]}

Sheen, Seung Hun ^{[2
]}

Kim, Hyoung Soo ^{[3
]}

Lee, Hee Sung ^{[3
]}

Lee, Tae Hun ^{[4
]}

Gim, Gi Ho ^{[5
]}

Hwang, Sung Mi ^{[5
]}

Lee, Jae Jun ^{[5
]}

机构：

[1] Seoul Natl Univ, Dept Neurosurg, Sch Med, Seoul, South Korea

[2] Hallym Univ, Sch Med, Dept Neurosurg, Chunchon, South Korea

[3] Hallym Univ, Sch Med, Dept Thorac & Cardiovasc Surg, Chunchon, South Korea

[4] Hallym Univ, Sch Med, Dept Emergency Med, Chunchon, South Korea

[5] Hallym Univ, Sch Med, Dept Anesthesiol & Pain Med, Chunchon, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2013年 / 28卷 / 06期

关键词：

Extracorporeal Membrane Oxygenation; Pulmonary Edema; Subarachnoid Hemorrhage; SUBARACHNOID HEMORRHAGE; HYPOTHERMIA; PRESSURE; TRAUMA;

D O I：

10.3346/jkms.2013.28.6.962

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Neurogenic pulmonary edema (NPE) leading to cardiopulmonary dysfunction is a potentially life-threatening complication in patients with central nervous system lesions. This case report describes a 28-yr woman with life-threatening fulminant NPE, which was refractory to conventional respiratory treatment, following the rupture of an aneurysm. She was treated successfully with extracorporeal membrane oxygenation (ECMO), although ECMO therapy is generally contraindicated in neurological injuries such as brain trauma and diseases that are likely to require surgical intervention. The success of this treatment suggests that ECMO therapy should not be withheld from patients with life-threatening fulminant NPE after subarachnoid hemorrhage.

引用

页码：962 / 964

页数：3

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