我們報告一個5歲半的男童在一次的肺炎併發急性呼吸窘迫症與敗血性休克之後，生命徵象與血中含氧量在高劑量的強心劑與呼吸器的使用下，仍無法維持穩定，成功地以體外維生系統(ECMO)治療的經驗。首先使用靜脈動動脈型的體外維生系統，在生命徵象穩定之後，改?靜脈靜型的體外維生系統。體外維生系統總共使用684小時，氣管內管亦在體外維生系統移除7天後拔除。病人狀況良好，?紐約心?學會功能分類第一級。

We report a 5-year-6-month-old case of pneumonia complicating with septic shock and acute respiratory distress syndrome. He was successfully treated with extracorporeal membrane oxygenation (ECMO). Veno-arterial mode of ECMO was used at first and it was shifted to veno-venous mode of ECMO after hemodynamics were stabilized. Total supporting duration of ECMO was 684 hours. The patient is well now, in functional class I of the New York Heart Association.