BT Ning, CM Zhang, R Lin, YM Tang

Abstract

A 9-year and 8-month old boy suffered from anaphylactic shock induced by cefotaxime. The patient's condition deteriorated after the emergent therapy with epinephrine, high-dose of methylprednisolone and mechanical ventilation. The extracorporeal membrane oxygenation (ECMO) with V-A model was carried out successfully after 4 hours of admission to paediatric intensive care unit. The patient's conditions were getting better after ECMO application with gradual disappearance of the pulmonary oedema and haemorrhage. He was weaned from ECMO after 64 hours and extubated successfully 84 hours later.

一名9歲8個月大男孩因使用頭孢氨噻肟致過敏性休克。應用腎上腺素、大劑量甲基強的松龍和機械通氣後病情惡化。轉入兒童心切治療部後4小時成功使用體外膜式氧合（ECMO）V-A模式。患者應用ECMO後病情改善，肺水腫和出血漸消失。64小時撤離ECMO，84小時成功拔管。