成功的ECMO抢救有机磷中毒引起难治性急性呼吸窘迫综合征：第一例儿科病例。

IF 1.3 4区医学 Q3 PEDIATRICS

Archives De Pediatrie Pub Date : 2025-06-24 DOI:10.1016/j.arcped.2025.05.001

Charlotte Suermondt, Charles de Marcellus, Dominique Vodovar, Charlotte Roy, Nathanael Shraer, Mehdi Oualha, Noémie de Cacqueray

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引用次数: 0

摘要

一名20个月大的女婴出现有机磷中毒。尽管给予肟治疗，患者的临床过程仍出现急性呼吸衰竭，需要在24小时内进行机械通气。由于难治性急性呼吸窘迫综合征（ARDS），患者于第3天接受静脉-静脉体外膜氧合（VV-ECMO）治疗。VV-ECMO手术成功抢救，患者完全恢复。在呼吸衰竭的情况下，静脉ECMO可能是有机磷中毒的一种选择。

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Successful ECMO rescue for organophosphate poisoning causing refractory acute respiratory distress syndrome: a first pediatric case.

A 20-month-old girl presented with organophosphate poisoning. Her clinical course was complicated by acute respiratory failure despite oxime administration, requiring mechanical ventilation within 24 h. Due to refractory acute respiratory distress syndrome (ARDS), the patient was placed on veno-venous extracorporeal membrane oxygenation (VV-ECMO) therapy on day 3. Successful rescue and complete recovery were achieved with VV-ECMO. Veno-venous ECMO may be an option for organophosphate poisoning in case of respiratory failure.

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来源期刊

Archives De Pediatrie 医学-小儿科

CiteScore

2.80

自引率

5.60%

发文量

106

审稿时长

24.1 weeks

期刊介绍： Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.