https://scholars.lib.ntu.edu.tw/handle/123456789/475380
標題: | Rescue of cardiopulmonary collapse in anterior mediastinal tumor: Case presentation and review of literature | 作者: | Huang Y.-L. Yang M.-C. CHI-HSIANG HUANG CHING-CHIA WANG EN-TING WU SHU-CHIEN HUANG SHIANN-TANG JOU JIN-SHING CHEN Ko W.-J. |
公開日期: | 2010 | 卷: | 26 | 期: | 4 | 起(迄)頁: | 296-298 | 來源出版物: | Pediatric Emergency Care | 摘要: | Background: Anterior mediastinal tumors in pediatric patients may cause severe cardiorespiratory compromise and sudden collapse, especially when anesthesia or analgesic is required. Method: We report a 15-year-old boy with a huge anterior mediastinal tumor that caused complete obliteration of right pulmonary artery and left bronchus, that is, complete ventilation-perfusion mismatch. Cardiopulmonary collapse happened after meperidine injection, and extracorporeal membrane oxygenation (ECMO) was instituted. Results: We then put bronchial stents to restore airway patency and proceeded chemotherapy under ECMO support. Extracorporeal membrane oxygenation was removed 40 hours later. However, the patient died of neutropenic sepsis 9 days after admission. Conclusions: We emphasized the devastating consequences of anterior mediastinal tumor compression on the pulmonary artery and the contralateral-side bronchus and the use of ECMO as a rescue. Copyright ? 2010 by Lippincott Williams & Wilkins. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-77951179993&doi=10.1097%2fPEC.0b013e3181d6daf0&partnerID=40&md5=68fab6732f939919e2c23ddc817cb5ab https://scholars.lib.ntu.edu.tw/handle/123456789/475380 |
ISSN: | 0749-5161 | DOI: | 10.1097/PEC.0b013e3181d6daf0 | SDG/關鍵字: | cyclophosphamide; cytarabine; methylprednisolone; pethidine; vincristine sulfate; adolescent; artery occlusion; article; bleeding; bronchus obstruction; cardiopulmonary hemodynamics; cardiopulmonary insufficiency; case report; cause of death; extracorporeal oxygenation; fatality; human; lung ventilation perfusion ratio; male; mediastinum tumor; neutropenia; pulmonary artery; septic shock; stent; Adjuvants, Anesthesia; Adolescent; Airway Obstruction; Arterial Occlusive Diseases; Bronchi; Extracorporeal Membrane Oxygenation; Heart Arrest; Humans; Male; Mediastinal Neoplasms; Meperidine; Pulmonary Artery; Stents |
顯示於: | 醫學系 |
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