Extracorporeal membrane oxygenation for the whole-lung lavage 1 cases.docVIP

 PAGE \* MERGEFORMAT 8 Extracorporeal membrane oxygenation for the whole-lung lavage 1 cases Author: Zeng Xianggang Yue Man Mo Huai Hui Song Tao Chen Ke-Gang Wei-Ming Huang [Keywords:] Pulmonary alveolar proteinosis; whole-lung lavage; extracorporeal membrane oxygenation ECMO (extracorporal membrane oxygenation, ECMO) has been successfully applied to a variety of respiratory and circulatory function disorders supportive care. Currently mainly used in acute severe respiratory insufficiency, cardiac surgery, heart and lung transplantation before and after supportive care [1 ~ 3]. In the perioperative period to help solve short-term respiratory and (or) circulation reported less support. This technology in our hospital in 2005 for the one cases of whole-lung lavage of patients with satisfactory results are reported below. About one case Patients, male, 47 years old, 110 kg, due to chest pain, cough in February and more shortness of breath 1 month admitted to hospital. The chest film, chest CT and lung biopsy material was diagnosed as pathological pulmonary alveolar proteinosis (PAP). 2-year history of hypertension, intermittent self-serving antihypertensive medication. Have sleep apnea syndrome for 1 year. Preoperative cardiac function, liver and kidney function, blood biochemical indices and coagulation function normal. Arterial blood gas analysis: PaO257 mmHg, PaCO233 mmHg, SaO290%. Local anesthesia right lung segmental lavage irrigation significant improvement in symptoms after, right lung shadows reduced, review the arterial blood gas analysis: PaO269 mmHg, PaCO234.2 mmHg, SaO295%. Pulmonary function tests: pulmonary function to normal, mild small airway obstruction, airway resistance and frequency-dependent increase, FEV1/FVC80%. Choose systemic anesthesia lung lavage. Intramuscular injection 30 min before anesthesia luminal sodium 0.1 g, atropine 0.5 mg. Into the operating room after the monitoring of non-invasive blood pressure, ECG, SpO2, invasive art