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继发于脾脏的感染性休克和自发性坏疽性气性坏死：源头控制的重要性

Septic Shock and Spontaneous Gangrenous Gas Necrosis of the Spleen Secondary to : The Importance of Source Control.

作者信息

Oskutis Morgan, Reaven Matthew

机构信息

Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Emory University School of Medicine, 615 Michael Street, Suite 205, Atlanta, GA 30322, USA.

出版信息

Case Rep Crit Care. 2021 May 6;2021:5563071. doi: 10.1155/2021/5563071. eCollection 2021.

DOI:10.1155/2021/5563071
PMID:34035966
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8118737/
Abstract

is a rare cause of septic shock, occurring most frequently in immunocompromised patients. An uncommon cause of septicemia is spontaneous gangrenous gas necrosis of the spleen, where the primary treatment is splenectomy. We present a case of septic shock caused by spontaneous gangrenous gas necrosis of the spleen secondary to in a patient whose profound pancytopenia made obtaining definitive source control extremely difficult.

摘要

是脓毒性休克的罕见病因，最常发生于免疫功能低下的患者。败血症的一种不常见病因是脾脏自发性坏疽性气体坏死，其主要治疗方法是脾切除术。我们报告一例因继发于[此处原文缺失相关内容]的脾脏自发性坏疽性气体坏死导致的脓毒性休克病例，该患者严重全血细胞减少，使得获得明确的源头控制极为困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd2/8118737/4785f6b529b6/CRICC2021-5563071.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd2/8118737/4785f6b529b6/CRICC2021-5563071.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd2/8118737/4785f6b529b6/CRICC2021-5563071.001.jpg

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Cureus. 2020 Sep 21;12(9):e10577. doi: 10.7759/cureus.10577.
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BMC Infect Dis. 2019 Sep 5;19(1):777. doi: 10.1186/s12879-019-4406-4.
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Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe.
一例巨大脾脓肿成功治愈，随访六年无复发。
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