肾移植受者因肺炎接受长时间静脉-静脉体外膜肺氧合（V-V ECMO）支持后的良好结局。
Favourable outcome after prolonged veno-venous extracorporeal membrane oxygenation (V-V ECMO) support for pneumonia in a renal transplant recipient.
作者信息
Kleinloog Daniel, Maas Jacinta, Lopez Matta Jorge, Elzo Kraemer Carlos
机构信息
Intensive Care Medicine, Leiden University Medical Center, Leiden, The Netherlands
Intensive Care Medicine, Leiden University Medical Center, Leiden, The Netherlands.
出版信息
BMJ Case Rep. 2021 Apr 1;14(4):e240004. doi: 10.1136/bcr-2020-240004.
Abstract
A 27-year-old man, with a history of renal transplantation, presented with acute kidney failure and pneumonia. The patient developed severe acute respiratory failure and required support by veno-venous extracorporeal membrane oxygenation for a total of 59 days. During this period, the patient had extremely low tidal volumes using a lung protective ventilation strategy and intermittent prone positioning was used to optimise oxygenation. There was full recovery of pulmonary and partial recovery of renal function.
摘要
一名27岁男性，有肾移植病史，出现急性肾衰竭和肺炎。患者发展为严重急性呼吸衰竭，需要静脉-静脉体外膜肺氧合支持共59天。在此期间，患者采用肺保护性通气策略时潮气量极低，并采用间断俯卧位以优化氧合。肺部完全恢复，肾功能部分恢复。
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