체외막형산소섭취로 치료한 선천성 횡격막 탈장 4례
Four Cases of Extracorporeal Membrane Oxygenation for Congenital Diaphragmatic Hernia
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Congenital diaphragmatic hernia (CDH) with severe pulmonary hypoplasia is associated with significant mortality. Recently, several new therapeutic methods have been suggested, such as high- frequency oscillatory ventilation and inhaled nitric oxide. For hypoxemic respiratory failure unresponsive to these advanced medical treatment options, extracorporeal membrane oxygenation (ECMO) serves as the last potentially effective treatment. An understanding of the pathophysiology of pulmonary hypertension associated with CDH led to a strategy involving preoperative stabilization and delayed surgical intervention with ECMO. We describe four cases of ECMO, including the first report of ECMO for neonatal CDH in Korea.
Abstract
Congenital diaphragmatic hernia (CDH) with severe pulmonary hypoplasia is associated with significant mortality. Recently, several new therapeutic methods have been suggested, such as high- frequency oscillatory ventilation and inhaled nitric oxide. For hypoxemic respiratory failure unresponsive to these advanced medical treatment options, extracorporeal membrane oxygenation (ECMO) serves as the last potentially effective treatment. An understanding of the pathophysiology of pulmonary hypertension associated with CDH led to a strategy involving preoperative stabilization and delayed surgical intervention with ECMO. We describe four cases of ECMO, including the first report of ECMO for neonatal CDH in Korea.
참고문헌 (17)
- Beresford MW, "Outcome of congenital diaphragmatic hernia", Pediatr Pulmonol, 30, pp.249~256 (2000)
- Clark RH, "Current surgical management of congenital diaphragmatic hernia: a report from the Congenital Diaphragmatic Hernia Study Group", J Pediatr Surg, 33, pp.1004~1009 (1998)
- Colvin J, "Outcomes of congenital diaphragmatic hernia:a polpulation- based study in Western Australia", Pediatrics, 116, pp.356~363 (2005)
- Stege G, "Nihilism in the 1990s: the true mortality of congenital diaphragmatic hernia", Pediatrics, 112, pp.532~535 (2003)
- Rothenbach P, "The use of extracorporeal membrane oxygenation in infants with congenital diaphragmatic hernia", Semin Perinatol, 29, pp.40~44 (2005)
- Puri P, "Lethal nonpulmonary anomalies associated with congenital diaphragmatic hernia: implications for early intrauterine surgery", J Pediatr Surg, 19, pp.29~32 (1984)
- Witters I, "Associated malformations and chromosomal anomalies in 42 cases of prenatally diagnosed diaphragmatic hernia", Am J Med Genet, 103, pp.278~282 (2001)
- Bartlett RH, "Extracorporeal membrane oxygenation (ECMO) cardiopulmonary support in infancy", Trans Am Soc Artif Intern Organs, 22, pp.80~93 (1976)
- German JC, "Management of pulmonary insufficiency in diaphragmatic hernia using extracorporeal circulation with a membrane oxygenator (ECMO)", J Pediatr Surg, 12, pp.905~912 (1977)
- West KW, "Delayed surgical repair and ECMO improves survival in congenital diaphragmatic hernia", Ann Surg, 216, pp.454~462 (1992)
- Khan AM, "The role of extracorporeal membrane oxygenation in the management of infants with congenital diaphragmatic hernia", Semin Perinatol, 29, pp.118~122 (2005)
- 최성동, "신생아에서 ECMO요법", Korean Journal of Pediatrics, 46(8), pp.731~735 (2003), 대한소아과학회
- Dimmitt RA, "Venoarterial versus venovenous extracorporeal membrane oxygenation in congenital diaphragmatic hernia: the Extracorporeal Life Support Organization Registry, 1990- 1999", J Pediatr Surg, 36, pp.1199~1204 (2001)
- Kugelman A, "Venovenous versus venoarterial extracorporeal membrane oxygenation in congenital diaphragmatic hernia", J Pediatr Surg, 38, pp.1131~1136 (2003)
- Harrington KP, "The role of extracorporeal membrane oxygenation in congenital diaphragmatic hernia", Semin Pediatr Surg, 14, pp.72~76 (2005)
- Downard CD, "Impact of AMICAR on hemorrhagic complications of ECMO: a ten-year review", J Pediatr Surg, 38, pp.1212~1216 (2003)
- Davis PJ, "Long-term outcome following extracorporeal membrane oxygenation for congenital diaphragmatic hernia: the UK experience", J Pediatr, 144, pp.309~315 (2004)