Clinical application of extracorporeal membrane oxygenation in 4 children with severe adenovirus pneumonia
10.3760/cma.j.cn101070-20200513-00818
- VernacularTitle:体外膜肺氧合治疗重症腺病毒肺炎4例
- Author:
Xia HU
1
;
Xiulan LU
;
Desheng ZHU
;
Zhenya YAO
;
Zhenghui XIAO
;
Jiaotian HUANG
;
Juan XIAO
;
Guoqing ZHANG
Author Information
1. 湖南省儿童医院急救中心，长沙 410001
- Keywords:
Adenovirus;
Severe pneumonia;
Extracorporeal membrane oxygenation;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2021;36(23):1819-1823
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrospectively analyze the clinical application of extracorporeal membrane oxygenation (ECMO) in severe adenovirus pneumonia, and to evaluate the application value of ECMO in children with severe adenovirus pneumonia.Methods:Children diagnosed with severe adenovirus pneumonia and intervened with ECMO in the Hunan Children′s Hospital from January 1, 2018 to December 31, 2019 were recruited in this study for analyzing.The gender, age, clinical manifestations, mechanical ventilation duration, ECMO duration, the length of hospital stay, complications and prognosis were collected and analyzed.Results:A total of 4 children were included in the study, involving 2 cases were successfully evacuated from ECMO.Finally, 3 children died, and 1 case survived.Three death cases had a longer than 18 days of duration from the onset to the start with ECMO.Their ventilator assist time before star-ting ECMO was 3-5 days, and ECMO intervention time was longer, with the maximum of 27.5 days.The survived case had an 11-day duration from the onset to the start with ECMO, and the ventilator assisted time and ECMO intervention time were 5 days, and less than 10 days, respectively.Conclusions:ECMO treatment for children with severe adenovirus pneumonia has a low success rate, but it is still the most important way to save children.Early application of ECMO can improve the prognosis of children with severe adenovirus pneumonia.
