Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2020; 8(18): 4245-4251
Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4245
Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4245
Massive pulmonary haemorrhage due to severe trauma treated with repeated alveolar lavage combined with extracorporeal membrane oxygenation: A case report
Bei-Yuan Zhang, Xian-Cheng Chen, Yong You, Ming Chen, Wen-Kui Yu, Department of Critical Care Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu Province, China
Author contributions: Zhang BY, Chen XC, You Y, Chen M and Yu WK were involved in in-hospital treatment of this case; Zhang BY and Chen XC helped to draft the manuscript; Zhang BY was a major contributor in writing the manuscript; You Y and Chen M analysed and interpreted the patient data; Yu WK designed the work and approved the submitted version; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Wen-Kui Yu, DSc, MD, PhD, Chief Doctor, Department of Critical Care Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, No. 321 Zhongshan Road, Nanjing 210008, Jiangsu Province, China. yudrnj@163.com
Received: April 13, 2020
Peer-review started: April 13, 2020
First decision: July 25, 2020
Revised: July 31, 2020
Accepted: August 15, 2020
Article in press: August 15, 2020
Published online: September 26, 2020
Peer-review started: April 13, 2020
First decision: July 25, 2020
Revised: July 31, 2020
Accepted: August 15, 2020
Article in press: August 15, 2020
Published online: September 26, 2020
Core Tip
Core Tip: Massive pulmonary haemorrhage due to trauma is a rare but life-threatening form of pulmonary contusion. In this work, we report a patient who presented with progressive massive pulmonary haemorrhage that was successfully treated with repeated alveolar lavage combined with extracorporeal membrane oxygenation. Our study indicates the efficacy of a novel option for the treatment of massive pulmonary haemorrhage. Moreover, we discuss the medication regimen of alveolar lavage and the management of heparin-free extracorporeal membrane oxygenation.