Application of extracorporeal membrane oxygenation to treatment of serious tracheal stenosis caused by relapsing polychondritis: a case report and literature review
| Autor: | Tong Li, Xujian He, Jingchen Zhang, Jia Hu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medicine (General) tracheal stent Relapsing polychondritis medicine.medical_treatment Case Reports Disease 030204 cardiovascular system & hematology Biochemistry 03 medical and health sciences Tracheostomy 0302 clinical medicine R5-920 medicine Extracorporeal membrane oxygenation case report Humans steroid therapy Polychondritis Relapsing tracheal stenosis Pathological 030203 arthritis & rheumatology business.industry Biochemistry (medical) Cell Biology General Medicine Oxygenation extracorporeal membrane oxygenation Middle Aged medicine.disease Tracheal Stenosis Surgery Trachea Upper respiratory tract infection Female Airway business |
| Zdroj: | Journal of International Medical Research, Vol 49 (2021) The Journal of International Medical Research |
| ISSN: | 1473-2300 |
| Popis: | Relapsing polychondritis (RP) is a multisystemic rheumatic disease characterized by widespread and potentially destructive inflammatory lesions of the cartilage. The rarity of this disease and the lack of pathological diagnostic laboratory tests can occasionally lead to delayed diagnosis. We herein describe a 51-year-old woman with RP. She was sent to our hospital 4 days after the development of an upper respiratory tract infection with difficulty breathing. Her clinical condition significantly improved after the performance of extracorporeal membrane oxygenation support in an awake state, implantation of a tracheal stent, and administration of steroid therapy. Airway involvement of RP may be life-threatening. In this case, endotracheal intubation would have undoubtedly been very dangerous. Extracorporeal membrane oxygenation can be performed in an awake state to maintain oxygenation and improve the chance of survival. |
| Databáze: | OpenAIRE |
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