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呼吸道合胞病毒(RSV)引起的毛细支气管炎好发于婴儿期,虽然极大多数预后较好,但个别患儿(<3%)病情危重需入重症监护病房及接受机械通气治疗。本文报道一组经最大限度常规治疗无效而改用体外膜氧合(ECMO)治疗的毛细支气管炎患儿。 方法和结果 所有病例来自英国3个医疗中心,系1989年4月至1995年1月期间因RSV毛细支气管炎而入重症监护病房的患儿,并且经最大限度常规治疗无效而改用ECMO治疗。此类患儿共24例,发病年
Bronchiolitis caused by respiratory syncytial virus (RSV) occurs in infancy. Although most of the patients have a good prognosis, some children (<3%) are critically ill admitted to intensive care unit and receive mechanical ventilation. This article reports a group of children with bronchiolitis who switched from extracorporeal membrane oxygenation (ECMO) to treatment that was maximally ineffective. Methods and Results All cases were from 3 UK centers and were treated with RSM bronchiolitis in intensive care units from April 1989 to January 1995 and were switched to ECMO after maximally routine treatment was discontinued. A total of 24 cases of these children, the incidence of the year