Extracorporeal membrane oxygenation-assisted bronchial artery embolization combined with tracheoscopic intervention in the treatment of extremely critical massive hemoptysis:report on one case
Massive hemoptysis is a respiratory emergency and critical condition,and simple ventilator support is often unable to maintain oxygenation when it is combined with severe airway obstruction and respiratory failure.Extracorporeal membrane oxygenation is an advanced life support technique,and with the development of ECMO technology,non-anticoagulation or low-dose anticoagulation ECMO has been increasingly used in the treatment of massive hemoptysis,thus creating time for subsequent hemostasis,airway contouring and other treatments.In this article,we report a case of massive hemoptysis combined with acute respiratory failure due to bronchiectasis and the process of treatment for extremely critical hemoptysis by bronchial artery embolization and tracheoscopic intervention with the assistance of non-anticoagulation ECMO,in order to improve the clinicians'experience in the understanding,diagnosis and treatment of patients with extremely critical massive hemoptysis.
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