Pumpless extracorporeal lung assist as supportive therapy in a patient with diffuse alveolar hemorrhage.
Int J Artif Organs
; 31(3): 279-81, 2008 Mar.
Article
en En
| MEDLINE
| ID: mdl-18373323
ABSTRACT
Our 18-year old female patient suffered from microscopic polyangiitis. After invasive diagnostics, a diffuse alveolar hemorrhage occurred, leading to acute lung failure. In spite of differential ventilation, respiratory insufficiency and lactate-acidosis increased quickly. Due to the massive hemorrhage, a pumpless extracorporeal lung assist was implanted and, after six hours, low-dose heparinization was started. In response to this therapy, hypercapnia and acidosis improved quickly and were completely eliminated within 24 hours. Simultaneously, treatment with prednisolon and cyclophosphamid was started. After 7 days, the patient's conditions allowed weaning from the pumpless extracorporeal lung assist and after 9 days she was extubated. In conclusion, the pumpless lung assist was shown to be a very practical option to treat the most serious forms of hypercapnia, especially for patients disposed to diffuse bleeding.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Alveolos Pulmonares
/
Síndrome de Dificultad Respiratoria
/
Circulación Extracorporea
/
Hemorragia
/
Enfermedades Pulmonares
Tipo de estudio:
Etiology_studies
Límite:
Adolescent
/
Female
/
Humans
Idioma:
En
Revista:
Int J Artif Organs
Año:
2008
Tipo del documento:
Article
País de afiliación:
Alemania