为肺切除术后危重中央气道阻塞的内窥镜切除术提供 ECMO 支持。

IF 2.3 3区医学 Q3 ONCOLOGY Thoracic Cancer Pub Date : 2024-10-29 DOI:10.1111/1759-7714.15456

Alfonso Fiorelli, Marisa De Feo, Michele Torella, Fausto Ferraro, Andrea Bianco, Giuseppe Vicario, Francesca Capasso, Gaetana Messina, Giovanni Natale

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引用次数: 0

摘要

一名 73 岁的妇女因肺切除术后肿瘤性中央气道阻塞而出现严重呼吸困难被送入我院。计划使用硬质支气管镜（RB）进行紧急再通气。控制通气和喷射通气是保证 RB 期间通气的常规方法，但在该病例中，由于存在单肺，氧合和二氧化碳排出不足的风险过高。多学科团队决定使用静脉体外膜氧合来支持 RB 期间的通气。成功实现了完全气道再通畅，未出现任何并发症。患者两天后出院。病理结果显示为转移性腺癌，患者接受了肿瘤治疗。

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ECMO support for endoscopic resection of postpneumonectomy critical central airway obstruction.

A 73-year-old woman was admitted to our hospital with severe respiratory distress due to postpneumonectomy neoplastic central airway obstruction. An emergency recanalization with rigid bronchoscopy (RB) was planned. Controlled and jet ventilation are routinely used to assure ventilation during RB, but the risk of inadequate oxygenation and removal of carbon dioxide was prohibitively high in this case due to the presence of a single lung. The use of venovenous extracorporeal membrane oxygenation was decided by multidisciplinary team to support ventilation during RB. Complete airway recanalization was successfully achieved without any complications. The patient was discharged 2 days later. Pathology revealed metastatic adenocarcinoma, and the patient was reviewed for oncologic treatment.

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来源期刊

Thoracic Cancer ONCOLOGY-RESPIRATORY SYSTEM

CiteScore

5.20

自引率

3.40%

发文量

439

审稿时长

2 months

期刊介绍： Thoracic Cancer aims to facilitate international collaboration and exchange of comprehensive and cutting-edge information on basic, translational, and applied clinical research in lung cancer, esophageal cancer, mediastinal cancer, breast cancer and other thoracic malignancies. Prevention, treatment and research relevant to Asia-Pacific is a focus area, but submissions from all regions are welcomed. The editors encourage contributions relevant to prevention, general thoracic surgery, medical oncology, radiology, radiation medicine, pathology, basic cancer research, as well as epidemiological and translational studies in thoracic cancer. Thoracic Cancer is the official publication of the Chinese Society of Lung Cancer, International Chinese Society of Thoracic Surgery and is endorsed by the Korean Association for the Study of Lung Cancer and the Hong Kong Cancer Therapy Society. The Journal publishes a range of article types including: Editorials, Invited Reviews, Mini Reviews, Original Articles, Clinical Guidelines, Technological Notes, Imaging in thoracic cancer, Meeting Reports, Case Reports, Letters to the Editor, Commentaries, and Brief Reports.