体外膜氧合辅助下呼吸内镜手术解除中央气道严重阻塞的初探研究（附2例报告）

Respiratory endoscopic surgery released central airway obstruction with ECMO support (2 cases)

摘要:

目的  探讨体外膜氧合（ECMO）辅助下呼吸内镜治疗气道严重阻塞的可行性及安全性。方法  回顾性分析该院2015年2例经ECMO辅助下呼吸内镜手术解除中央气道阻塞的临床资料、手术经过、并发症及手术疗效评估。结果  术后气道阻塞开放程度，病例1左主支气管开放100%，右主支气管开放50%，病例2气管开放90%，术中出血量病例1为70 ml，病例2为300 ml，术后呼吸困难症状及评分明显改善，围手术期无死亡。结论  ECMO技术在呼吸内镜手术中能够提高手术的安全性，为严重气道阻塞的微创内镜手术提供了新的辅助方式。

关键词:

体外膜氧合;呼吸内镜手术;气道严重阻塞

Abstract:

Objective To explore the feasibility and safety of bronchoscopy treatment in severe airway obstruction with extracorporeal membrane oxygenation (ECMO) support. Methods Clinical data, surgical procedure, complications and efficacy of respiratory endoscopic surgery for two patients with central airway obstruction were retrospectively analyzed. Results For case 1, left main bronchus spherical mass was completely removed with the lumen patency rate of 100% and the right main bronchus lumen open about 50%. For case 2, airway obstruction was relieved about 90 percent. Blood loss was about 70 ml for case 1 and 300 ml for the case 2 during the procedure. Dyspnea was relieved after surgery and no hospital death was observed. Conclusion ECMO technology can improve the safety of respiratory endoscopy surgery and provide new assistance for the minimal invasive endoscopic surgery in severe airway obstruction.

Key words:

extracorporeal membrane oxygenation, ECMO; respiratory endoscopic surgery; severe airway obstruction