血液吸附柱与 2019 年冠状病毒病感染:病例报告及文献复习。
Hemoadsorption cartridge and coronavirus disease 2019 infections: A case report and brief literature review.
机构信息
Department of Anaesthesia and Intensive Care, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
Department of Laboratory Medicine, Azienda Unità Sanitaria Locale, Modena, Italy.
出版信息
Artif Organs. 2021 May;45(5):E130-E135. doi: 10.1111/aor.13846. Epub 2020 Nov 29.
The cytokine storm has been frequently reported to occur in patients with severe coronavirus disease 2019 (COVID-19). Data from the literature suggest that elevated levels of inflammatory mediators, such as interleukin (IL)-6, IL-8, and tumor necrosis factor, indicate a severe course or the fatality of the disease. Several therapeutic options have been employed to treat critically ill patients, including hemoadsorption of inflammatory mediators. We here present a case of severe acute respiratory syndrome caused by COVID-19 and acute renal failure. The patient was admitted to our intensive care unit and treated with mechanical ventilation, renal replacement therapy, and hemoadsorption to reduce the cytokine release syndrome, which plays a fundamental role in the clinical presentation of COVID-19 patients. We also discuss the potential advantages of reducing cytokine plasma levels using a hemoadsorption cartridge.
细胞因子风暴在重症 2019 冠状病毒病(COVID-19)患者中经常被报道。文献中的数据表明,炎症介质(如白细胞介素[IL]-6、IL-8 和肿瘤坏死因子)水平升高表明疾病的严重程度或致命性。已经采用了几种治疗方案来治疗重症患者,包括炎症介质的血液吸附。我们在此介绍了一例由 COVID-19 引起的严重急性呼吸综合征和急性肾衰竭的病例。患者被收入我们的重症监护病房,并接受机械通气、肾脏替代治疗和血液吸附治疗,以减轻细胞因子释放综合征,该综合征在 COVID-19 患者的临床表现中起着根本作用。我们还讨论了使用血液吸附柱降低细胞因子血浆水平的潜在优势。