Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Severe Acute Respiratory Distress Syndrome Treated with Extracorporeal Life Support

체외생명보조를 이용한 중증 급성호흡곤란증후군 치료 1예

  • Kim, Young Mook (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Lee, Jue Yong (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Lee, Myung-Goo (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Lee, Chang Youl (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Kim, Go Woon (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Sohn, Kyoung Min (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Yang, Ha Na (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Kim, Dae Yong (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Choi, Hyun Hee (Department of Internal Medicine, Hallym University School of Medicine) ;
  • Kim, Hyoung Soo (Department of Thoracic and Cardiovascular Surgery, Hallym University School of Medicine)
  • 김영묵 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 이주용 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 이명구 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 이창률 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 김고운 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 손경민 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 양하나 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 김대용 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 최현희 (한림대학교 의과대학 내과학교실 및 폐연구소) ;
  • 김형수 (한림대학교 의과대학 흉부외과학교실)
  • Received : 2007.09.28
  • Accepted : 2007.11.01
  • Published : 2007.12.30
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Abstract

The incidence of acute respiratory distress syndrome (ARDS) has been estimated worldwide to range from 1.7 to 75 cases per 100,000. There are many treatments for ARDS, but only the low tidal volume strategy is based on strong clinical evidence from randomized clinical trials. The efficacy of extracorporeal life support (ECLS) in adults remains controversial. Ongoing clinical trials and research have shown a benefit for its use to salvage severe ARDS patients that are in failure with conventional treatment. We encountered a 41-year-old woman who developed ARDS induced by pneumococcal pneumonia. Despite conventional mechanical ventilation in the emergency room, severe hypoxia remained. We treated the patient immediately with ECLS. The patient has almost fully recovered, and was discharged from a 177-day stay at our hospital.

중증급성호흡곤란증후군으로 전원 된 41세 여자환자를 기존의 기계환기 방법으로 치료했으나 저산소증이 호전되지 않아 내원 후 3시간 내에 신속한 체외생명보조를 시행하여 성공적으로 치료한 예를 경험하여 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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