Treatment of a life-threatening acute chest syndrome with hemolytic crisis in sickle cell disease using an extracorporeal membrane oxygenation (ECMO)

被引:8
作者
Hoffmann, M. [1 ]
Geldner, G. [1 ]
Leschke, M.
机构
[1] Klinikum Ludwigsburg, Klin Anasthesie Intens Med Schmerztherapie & Notf, D-71640 Ludwigsburg, Germany
关键词
severe sickle cell disease; acute chest syndrome; lung failure; ECMO (extracorporeal membrane oxygenation); NITRIC-OXIDE; ANEMIA; TRANSFUSIONS; GERMANY; STROKE;
D O I
10.1055/s-0031-1292031
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
History and clinical findings: A 28-year-old male patient with sickle cell disease developed a vasoocclusive crisis with an acute chest syndrome and severe lung failure. Treatment and course: After partial substitution transfusion the patient was successfully treated extracorporeal membrane oxygenation (ECMO). After 12 days he was weaned from the ECMO, 2 days later the patient's tracheostoma was removed. 19 days after the event the patient had recovered completely and was moved to a hospital in Paris from where he came. Conclusion: Apparently data is sparse regarding the use of ECMO for treatment of a life-threatening acute chest syndrome in sickle cell disease. However, the therapy approach seems to be promising and is worth considering in this particular situation.
引用
收藏
页码:2192 / 2195
页数:4
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