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一例恙虫病并发成人呼吸窘迫综合征并成功应用体外膜肺氧合治疗的病例

A Case of Scrub Typhus Complicated by Adult Respiratory Distress Syndrome and Successful Management with Extracorporeal Membrane Oxygenation.

作者信息

Choi Woo Young, Lee Seung Yun, Kwon Hea Yoon, Im Jae Hyoung, Durey Areum, Baek Ji Hyeon, Kim Young Sam, Kang Jae-Seung, Lee Jin-Soo

机构信息

Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.

Department of Thoracic and Cardiovascular Surgery, Inha University School of Medicine, Incheon, Korea.

出版信息

Am J Trop Med Hyg. 2016 Sep 7;95(3):554-7. doi: 10.4269/ajtmh.16-0069. Epub 2016 Jul 25.

Abstract

A 67-year-old woman was diagnosed as having scrub typhus with pneumonitis. On admission, she was started on a combination therapy with levofloxacin and doxycycline. However, the patient developed severe acute respiratory distress syndrome (ARDS) on the 2nd day, and as a result, she underwent extracorporeal membrane oxygenation (ECMO). She was weaned from ECMO on the 10th day, as her respiratory status gradually improved. She was discharged without sequelae on the 23rd day. The outcome suggests that the use of ECMO should be considered for patients with ARDS induced from scrub typhus.

摘要

一名67岁女性被诊断为恙虫病合并肺炎。入院时,她开始接受左氧氟沙星和多西环素联合治疗。然而,患者在第2天出现了严重急性呼吸窘迫综合征(ARDS),因此接受了体外膜肺氧合(ECMO)治疗。随着呼吸状况逐渐改善,她在第10天脱离了ECMO。她在第23天出院,无后遗症。结果表明,对于恙虫病诱发的ARDS患者,应考虑使用ECMO。

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