| Extracorporeal membrane oxygenation for pulmonary hemorrhage in microscopic polyangiitis |
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| 作者单位： | Department of Pulmonology, Shanghai Chest Hospital, Shanghai 200127, China |
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| 摘 要： | Microscopic polyangiitis （MPA） is characterized by an inflammatory process of the vessel walls and is classified according to the smallest vessels involved. Diagnosis is based on clinical manifestations, anti-neutrophil cytoplasmic autoantibody （ANCA） testing, and histology. In this disease, pulmonary hemorrhage is seen in 30% of patients and is associated with an eight-fold increase in mortality. Classically, MPA involves the kidneys and upper and lower respiratory tracts. Due to the perceived risk of increased bleeding secondary to the use of systemic anticoagulation, extra corporeal membrane oxygenation （ECMO） is often not used to treat patients with hemorrhage suffered from MPA. Here we report a case of a 50-year-old woman with MPA that was successfully supported with ECMO.
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| 关 键 词： | 肺出血 身体外膜 氧合作用 治疗方法 |
Extracorporeal membrane oxygenation for pulmonary hemorrhage in microscopic polyangiitis |
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| Authors: | ZHONG Hua CHEN Ji-hua LI Sai-qi JIANG Li-yan LI Xin HAN Bao-hui |
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| Institution: | ZHONG Hua(Department of Pulmonology, Shanghai Chest Hospital, Shanghai 200127, China)；CHEN Ji-hua(Department of Pulmonology, Shanghai Chest Hospital, Shanghai 200127, China)；LI Sai-qi(Department of Pulmonology, Shanghai Chest Hospital, Shanghai 200127, China)；JIANG Li-yan(Department of Pulmonology, Shanghai Chest Hospital, Shanghai 200127, China)；LI Xin(Department of Pulmonology, Shanghai Chest Hospital, Shanghai 200127, China)；HAN Bao-hui(Department of Pulmonology, Shanghai Chest Hospital, Shanghai 200127, China)； |
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| Abstract: | microscopic polyangiitis pulmonary hemorrhage |
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| Keywords: | microscopic polyangiitis pulmonary hemorrhage |
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