Abstract Introduction: Patients with coronavirus disease (COVID-19) may develop acute respiratory distress syndrome (ARDS). There have been few reports of postpartum woman with ARDS secondary to COVID-19 who required respiratory support using veno-venous extracorporeal membrane oxygenation (ECMO). We present the case of a 31-year-old woman who was admitted to hospital at 35 weeks gestation with ARDS secondary to COVID-19 and required ECMO during the postpartum period. Patient concerns: The patient had obvious dyspnea, accompanied by chills and fever. Her dyspnea worsened and her arterial oxygen saturation decreased rapidly. Diagnosis: ARDS secondary to COVID-19. Interventions: Emergency bedside cesarean section. Medications included immunotherapy (thymosin α 1), antivirals (lopinavir/ritonavir and ribavirin), antibiotics (imipenem-cilastatin sodium and vancomycin), and methylprednisolone. Ventilatory support was provided using invasive mechanical ventilation. This was replaced by venous-venous ECMO 5 days postpartum. ECMO management focused on blood volume control, coagulation function adjustment, and airway management. Outcomes: The patient was successfully weaned for ECMO and the ventilator and made a good recovery. Conclusion: Special care, including blood volume control, coagulation function adjustment, and airway management, should be provided to postpartum patients with ARDS secondary to COVID-19 who require ECMO support.
【저자키워드】 COVID-19, acute respiratory distress syndrome, Case report, extracorporeal membrane oxygenation, Postpartum, 【초록키워드】 Methylprednisolone, coronavirus disease, ARDS, Antiviral, sodium, Immunotherapy, hospital, Antibiotics, ribavirin, oxygen saturation, management, Dyspnea, Patient, ECMO, airway management, Care, Blood, acute respiratory distress, Invasive mechanical ventilation, Emergency, Respiratory Support, Support, Volume, gestation, ventilator, syndrome, coagulation function, develop, required, provided, replaced, accompanied, chills and fever, patients with ARDS, worsened, 【제목키워드】 acute respiratory distress, syndrome,