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一名新冠肺炎成年患者出现新发系统性毛细血管渗漏综合征

New-Onset Systemic Capillary Leak Syndrome in an Adult Patient with COVID-19.

作者信息

Knox Daniel B, Lee Vivian, Leither Lindsay, Brown Samuel M

机构信息

Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, UT, USA.

Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT, USA.

出版信息

Case Rep Crit Care. 2021 Sep 30;2021:8098942. doi: 10.1155/2021/8098942. eCollection 2021.

Abstract

Systemic capillary leak syndrome (SCLS) is a rare disorder manifesting as shock, hemoconcentration, and hypoalbuminemia, which may be either idiopathic or secondary to an underlying disease process. We report a case of an adult with COVID-19 infection associated with new onset SCLS. Our case joins only two other cases of new SCLS associated with COVID-19 infection reported in the literature. The clinical and laboratory findings in this case are distinct from findings seen in COVID-19 cytokine storm syndrome. Whether our therapeutic approach was efficacious is unknown. Further research into causes and therapies for these syndromes is urgently indicated.

摘要

系统性毛细血管渗漏综合征(SCLS)是一种罕见的疾病,表现为休克、血液浓缩和低白蛋白血症,可能是特发性的,也可能继发于潜在的疾病过程。我们报告一例成年新冠肺炎感染患者并发新发SCLS的病例。我们的病例是文献中仅有的另外两例与新冠肺炎感染相关的新发SCLS病例之一。该病例的临床和实验室检查结果与新冠肺炎细胞因子风暴综合征的表现不同。我们的治疗方法是否有效尚不清楚。迫切需要对这些综合征的病因和治疗方法进行进一步研究。

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