多器官功能障碍综合征中深度酸中毒（pH 6.685）的恢复情况。
Recovery from profound acidosis (pH 6.685) in multi-organ dysfunction syndrome.
作者信息
Davies Eryl A, Saleh Christopher, Bannard-Smith Jonathan
机构信息
Critical Care Unit, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester, UK.
出版信息
J Intensive Care Soc. 2021 Feb;22(1):78-82. doi: 10.1177/1751143719870102. Epub 2019 Sep 5.
Abstract
Acidosis is a common feature of patients referred to critical care from the emergency department. We present the case of a 49-year-old female with multi-organ dysfunction syndrome (MODS) and an arterial pH of 6.685 on arrival to the emergency department. This case is unique as the patient was in circulatory shock with MODS from rhabdomyolysis on arrival and had not suffered a cardiac arrest. We believe this to be the first reported case of full recovery from such an extreme metabolic disturbance in this context, and discuss the relevance of profound acidosis to early clinical decision-making.
摘要
酸中毒是从急诊科转入重症监护病房的患者的常见特征。我们报告一例49岁女性患者，患有多器官功能障碍综合征（MODS），到达急诊科时动脉血pH值为6.685。该病例独特之处在于患者入院时因横纹肌溶解症并发MODS处于循环性休克状态，且未发生心脏骤停。我们认为这是在此种情况下首次报道的从如此严重的代谢紊乱中完全康复的病例，并讨论了严重酸中毒与早期临床决策的相关性。
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