体外膜型肺（ＥＣＭＯ）によって救命し得た重症レジオネラ肺炎による急性呼吸不全の１例

• 中嶋 治彦

  新潟大学第2内科

• 大平 徹郎

  新潟大学第2内科

• 斎藤 亮彦

  新潟大学第2内科

• 佐藤 一範

  新潟大学救急部

• 五十嵐 謙一

  新潟大学第2内科

• 鈴木 栄一

  新潟大学第2内科

• 荒川 正昭

  新潟大学第2内科

• Kutsuwada Tatsuya

  Departments of Medicine (II), Niigata University School of Medicine

書誌事項

タイトル別名

• Extracorporeal Membrane Oxygenation for Acute Respiratory Failure Induced by Legionella Pneumoniae. (Case report).

抄録

We report a case of severe legionella pneumonia with acute respiratory failure, successfully managed with veno-venous extracorporeal membrane oxygenation (VV-ECMO). The patient presented with 4-day history of fever and cough. He was in critical condition, with exacerbated respiratory failure. Mechanical ventilation, volume replacement and antibiotic therapy were initiated. Despite increasing mechanical ventilatiory support (FiO₂ 100%, TV 10ml/kg, f 30min, PEEP 5cmH₂O), PaO₂ fell below 40Torr and life sustaining measures were undertaken. VV-ECMO (flow 30ml/kg/min) was commenced, and the patient responded well, with an elevation of PaO₂. Erythromycin therapy was effective against the pneumonia. VV-ECMO was maintained for 92 hours, mechanical ventilation was successfully discontinued 11days after and the patient was discharged 82 days after cessation of ventilator support. Serum antibody examination proved legionella infection. VV-ECMO may have a role in the management of patients with acute respiratory failure caused by bacterial pneumonia.

収録刊行物

• 日本胸部疾患学会雑誌

  日本胸部疾患学会雑誌 35 (12), 1363-1367, 1997

  社団法人 日本呼吸器学会

キーワード

• 体外膜型肺
• レジオネラ肺炎
• 急性呼吸不全
• 機械的人工呼吸管理

詳細情報

• CRID: 1390001205018649216
• NII論文ID: 130003679437
• NII論文ID: 10006191919
• NII書誌ID: AN00187758
• DOI: 10.11389/jjrs1963.35.1363
• ISSN: 1883471X
• ISSN: 03011542
• PubMed: 9567082
• Web Site: https://search.jamas.or.jp/link/ui/1998159170
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可