Division of Pediatric Critical Care, Vanderbilt University School of Medicine, ECMO Medical, Doctor's Office Tower 5109, Nashville, TN 37232-9075, USA.
J Pediatr Surg. 2013 May;48(5):1114-7. doi: 10.1016/j.jpedsurg.2013.02.061.
We present three cases of pediatric patients with thrombocytopenia-associated multiple organ failure and the evidence for providing extracorporeal organ support. All three patients had severe cardiac dysfunction, respiratory failure, and acute kidney injury treated with venoarterial extracorporeal membrane oxygenation, continuous renal replacement therapy, and plasma exchange. Despite the presence of multiple organ failure and high risk of mortality, all three patients survived with minimal long-term sequelae.
我们报告了三例血小板减少症相关多器官衰竭的儿科患者，并提供了体外器官支持的证据。所有三名患者均存在严重的心脏功能障碍、呼吸衰竭和急性肾损伤，接受了静脉动脉体外膜氧合、连续肾脏替代治疗和血浆置换治疗。尽管存在多器官衰竭和高死亡率风险，但所有三名患者均存活下来，且仅有轻微的长期后遗症。
