UNASSIGNED: A 35-year-old man with dyspnea was referred to our hospital. He showed left testicular tumor with multiple lung metastases. Serum human chorionic gonadotropin level was also elevated. Reduced chemotherapy was initiated and extracorporeal membrane oxygenation was administered because of low oxygen levels on the fourth day. Chemotherapy successfully reduced the size of the lung masses, and extracorporeal membrane oxygenation was discontinued. Respiratory status improved substantially, but the patient died of brain metastases 4 months later.
UNASSIGNED: Extracorporeal membrane oxygenation may be a useful option for managing respiratory failure resulting from choriocarcinoma syndrome until the respiratory condition is improved by chemotherapy for testicular tumors.
■一名35岁的呼吸困难患者被转诊到我们医院。左侧睾丸肿瘤伴多发肺转移。血清人绒毛膜促性腺激素水平也升高。由于第四天的低氧水平,开始减少化疗并进行体外膜氧合。化疗成功缩小了肺部肿块的大小,停止体外膜氧合。呼吸状态明显改善,但4个月后患者死于脑转移。
■体外膜氧合可能是治疗绒毛膜癌综合征引起的呼吸衰竭的一个有用选择,直到睾丸肿瘤的化疗改善呼吸状况。