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脓毒性休克过程中的脊髓梗死：一例报告并文献复习

Spinal Cord Infarction in the Course of a Septic Shock: About One Case and Review of the Literature.

作者信息

Henin P, Molderez A, Huberlant V, Trine H

机构信息

Groupe Jolimont, Centre Hospitalier de Jolimont, 159 rue Ferrer, 7100 Haine Saint Paul, Belgium.

出版信息

Case Rep Crit Care. 2017;2017:1571048. doi: 10.1155/2017/1571048. Epub 2017 Feb 20.

DOI:10.1155/2017/1571048
PMID:28316845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5337840/
Abstract

We report the case of a patient admitted to our intensive care unit in the course of a septic shock, secondary to cholangitis. After rapid hemodynamic stabilization, antibiotherapy, and endoscopic extraction of bile ducts stones, she appeared to have developed flaccid paraplegia. The suspected diagnosis of medullar ischemia was confirmed by typical MRI findings. This case stresses the potential pathogenic role of hypotension in medullar ischemia and the place of magnetic resonance imaging (MRI) as a reliable diagnostic tool.

摘要

我们报告了一例因胆管炎继发感染性休克而入住我们重症监护病房的患者。在快速实现血流动力学稳定、进行抗生素治疗以及通过内镜取出胆管结石后，她似乎出现了弛缓性截瘫。典型的MRI表现证实了髓质缺血的疑似诊断。该病例强调了低血压在髓质缺血中的潜在致病作用以及磁共振成像（MRI）作为可靠诊断工具的地位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5291/5337840/33b2faf5c9f4/CRICC2017-1571048.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5291/5337840/33b2faf5c9f4/CRICC2017-1571048.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5291/5337840/33b2faf5c9f4/CRICC2017-1571048.001.jpg

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Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.拯救脓毒症运动：严重脓毒症和脓毒性休克管理国际指南：2012 年。
Crit Care Med. 2013 Feb;41(2):580-637. doi: 10.1097/CCM.0b013e31827e83af.
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Serious complications associated with spinal and epidural anaesthesia in Finland from 2000 to 2009.2000 至 2009 年芬兰脊髓和硬膜外麻醉相关的严重并发症。
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