https://scholars.lib.ntu.edu.tw/handle/123456789/191812
標題: | Extracorpoeal membrane oxygenation support for single-lung transplantation in patients with primary pulmonary hypertention. 體外膜 氧合器支持原發性肺高壓病人的單側肺臟移植 |
作者: | KO, WEN-JE CHEN, YIH-SHARNG 柯文哲 陳益祥 |
公開日期: | 1999 | 卷: | v.31 | 期: | n.1-2 | 起(迄)頁: | 166-168 | 來源出版物: | TRANSPLANTATION PROCEEDINGS | 摘要: | Due to the advantages of optimal use of donor organs and relative simplicity of the surgical procedure, single lung transplantation (SLTx) has become the preferred transplantation procedure for end-stage primary pulmonary hypertension (PPH).1 In fact, SLTx for end-stage PPH can get good result of low operative mortality; immediate, complete , and durable amelioration of pulmonary hypertension.1-3 However, critical postoperative care of patients undergoing SLTx for PPH is still a big medical challenge .4 The main difficulty is from the reperfusion edema of the transplanted lung, which can result in a potentially fatal respiratory failure. 5, 6 Cardiopulmonary support is always needed during SLTx for PPH. Conventional cardiopulmonary bypass ( CPB) through the femoral route or intrathoracic route used to be applied for this indication. However, the conventional CPB is not completely benign. There are significant complications of bleeding tendency and early graft dysfunction from its use.7 We reported our experiences of using extracorporeal membrane oxygenation (ECMO) instead of the conventional CPB in SLTx for PPH and extending its use into the early postoperative period. By this method, we prevented major complications of CPB and made easier the early postoperative critical care in patients undergoing SLTx for PPH. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/91233 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。