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成功应用体外膜肺氧合治疗链球菌败血症患者:一例报告并文献复习

Successful use of extra-corporeal membrane oxygenation in a patient with streptococcal sepsis: a case report and review of literature.

作者信息

Pořízka Michal, Kopecký Petr, Prskavec Tomáš, Kunstýř Jan, Rulíšek Jan, Balík Martin

机构信息

Department of Anaesthesiology and Intensive Care, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.

2nd Department of Surgery - Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.

出版信息

Prague Med Rep. 2015;116(1):57-63. doi: 10.14712/23362936.2015.47.

Abstract

A young patient with streptococcal sepsis due to the phlegmon of his left thigh was admitted to the general intensive care unit. He developed a multi-organ failure and septic cardiomyopathy with subsequent cardiogenic shock. This resulted in hemodynamic instability unresponsive to conservative medical treatment. We report a successful application of veno-arterial extra-corporeal membrane oxygenation, which was used to overcome the period of critically low cardiac output caused by severe septic myocardial dysfunction.

摘要

一名因左大腿蜂窝织炎导致链球菌败血症的年轻患者被收入综合重症监护病房。他出现了多器官功能衰竭和感染性心肌病,随后发生心源性休克。这导致血流动力学不稳定,对保守药物治疗无反应。我们报告了静脉-动脉体外膜肺氧合的成功应用,其用于克服严重感染性心肌功能障碍导致的心输出量极低的时期。

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