외상성 폐손상시 체외막형 산화기 치료 - 2 예 -

Extracorporeal Membrane Oxygenation Treatment of Traumatic Lung Injury - 2 cases -

  • 양진성 (순천향대학교 부천병원 흉부외과) ;
  • 신화균 (순천향대학교 부천병원 흉부외과) ;
  • 허균 (순천향대학교 부천병원 흉부외과) ;
  • 원용순 (순천향대학교 부천병원 흉부외과)
  • Yang, Jin-Sung (Department of Thoracic Surgery, Soonchunhyang University School of Medicine, Soonchunhyang University Hospital) ;
  • Shin, Hwa-Kyun (Department of Thoracic Surgery, Soonchunhyang University School of Medicine, Soonchunhyang University Hospital) ;
  • Her, Keun (Department of Thoracic Surgery, Soonchunhyang University School of Medicine, Soonchunhyang University Hospital) ;
  • Won, Yong-Soon (Department of Thoracic Surgery, Soonchunhyang University School of Medicine, Soonchunhyang University Hospital)
  • 투고 : 2011.05.03
  • 심사 : 2011.08.22
  • 발행 : 2011.12.31

초록

Mechanical ventilation is usually the treatment of choice for severe respiratory failure associated with trauma. However, in case of severe hypoxia, mechanical ventilation may not be sufficient for gas exchange in lungs. Patients with Acute Respiratory Distress Syndrome (ARDS) undergo difficulties in oxygen and carbon dioxide exchange. Extracorporeal Membrane Oxygenation (ECMO) is the ideal therapeutic option for those patients with severe traumatic injuries. ECMO allows lungs to reserve their functions and decreases further lung injuries while increasing survival rate at the same time. We report two cases of patients with traumatic ARDS and Multiple Organ Failure including compromised heart function. The preservation of lung function was successful using ECMO therapy.

키워드

참고문헌

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