一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 検索用
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 全文PDF

Abstract

Full Text of PDF Full Text of PDF (404k)
Article in Japanese

Case Report

A case of severe pneumonia complicated with intractable pneumothorax managed by using extracorporeal membrane oxygenation

Tomonobu Kawaguchia, b  Yuzo Yamamotob, c  Shunji Hayashidanib  Masayuki Kojimab  Miiru Izumib, d 

aDepartment of Respirology, Japan Community Health Care Organization Kyushu Hospital
bFukuoka Red Cross Hospital
cResearch Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University
dDepartment of Respirology, National Hospital Organization Omuta National Hospital

ABSTRACT

A 63-year-old man presenting with fever was admitted to our hospital with a diagnosis of pneumonia. However, his respiratory condition worsened after admission, and he was intubated and put on mechanical ventilation. His condition was further complicated by a right-sided pneumothorax identified on the day following intubation. Three chest tubes were inserted through the intercostal spaces; however, the pneumothorax did not resolve, and the hypoxemia worsened. The patient was then placed on extracorporeal membrane oxygenation (ECMO), following which the hypoxemia improved. However, the pneumothorax did not improve, despite repeated pleurodesis. We then performed an ECMO-assisted bullectomy. After the operation, the patient was weaned from ECMO and mechanical ventilation. This case indicates that ECMO is an effective way to support patients diagnosed with severe hypoxemia along with intractable pneumothorax who fail to respond to conventional ventilation strategies.

KEYWORDS

Extracorporeal membrane oxygenation (ECMO)  Intractable pneumothorax 

Received 14 Feb 2015 / Accepted 10 Jul 2015

AJRS, 4(6): 483-487, 2015

Google Scholar