一名接受俯卧位通气和体外膜肺氧合治疗的新冠肺炎患者出现足部坏疽。
Pedal gangrene in a patient with COVID-19 treated with prone positioning and extracorporeal membrane oxygenation.
作者信息
Siegel Amanda, Al Rubaiay Ammar, Adelsheimer Andrew, Haight John, Gawlik Scott, Oropallo Alisha
机构信息
Department of Podiatry, Comprehensive Wound Care Healing and Hyperbarics, Northwell Health, Lake Success, NY.
Department of Surgery, Comprehensive Wound Care Healing and Hyperbarics, Northwell Health, Lake Success, NY.
出版信息
J Vasc Surg Cases Innov Tech. 2021 Jun;7(2):357-360. doi: 10.1016/j.jvscit.2021.02.013. Epub 2021 Mar 4.
Many patients hospitalized with coronavirus disease 2019 are treated with venovenous extracorporeal membrane oxygenation and prone positioning to optimize oxygenation. However, this combination can result in lower extremity tissue necrosis, especially without adequate offloading. We report the case of a 31-year-old man who required mechanical ventilation and venovenous extracorporeal membrane oxygenation secondary to complications from coronavirus disease 2019, and subsequently developed pedal dry gangrene. The patient was discharged and healed without requiring an amputation. Our institution has since revised the prone positioning protocol to address offloading the lower extremities and feet.
许多因2019冠状病毒病住院的患者接受了静脉-静脉体外膜肺氧合和俯卧位通气以优化氧合。然而，这种联合治疗可能导致下肢组织坏死，尤其是在没有充分减轻压力的情况下。我们报告了一例31岁男性患者，因2019冠状病毒病并发症需要机械通气和静脉-静脉体外膜肺氧合，随后发生足部干性坏疽。该患者出院后痊愈，无需截肢。此后，我们机构修订了俯卧位方案，以解决下肢和足部的减压问题。
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