ОПЫТ ИСПОЛЬЗОВАНИЯ ЭКСТРАКОРПОРАЛЬНОЙ МЕМБРАННОЙ ОКСИГЕНАЦИИ У ПАЦИЕНТА С ИНГАЛЯЦИОННЫМ ОТРАВЛЕНИЕМ СОЕДИНЕНИЯМИ ФТОРА

Abstract

Throughout the history of mankind, technological progress has not stood still, but, unfortunately, the production and discoveries that the age of progress brings to us always go hand in hand with an industrial injury. Despite the fact that over the past decades, the requirements and control of compliance with safety regulations have significantly increased, yet sometimes accidents occur that can take more than one human life. Work involving the risk of inhalation poisoning with particularly dangerous chemical compounds, which can lead to severe systemic and respiratory damage, is particularly dangerous for humans. According to the Federation of Independent Trade Unions of Russia, chemical poisoning accounts for 21.93% of all industrial injuries. Depending on the damaging agent, duration and area of exposure, all victims need a certain amount and specifics of assistance, which often requires prosthetics of several affected body systems, including using extracorporeal technologies. We present a clinical case of the successful application of extracorporeal membrane oxygenation (ECMO) methods in the complex therapy of inhalation poisoning with hydrofluoric acid vapors received by a patient as a result of an industrial accident. Based on the lack of clear clinical recommendations for the treatment of inhalation poisoning of this etiology, the method of extracorporeal membrane oxygenation and respiratory protection for volumetric lung tissue damage in complex therapy has shown its effectiveness and prospects that require further study.