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CytoSorb®血液吸附作为应对新冠病毒诱导的细胞因子风暴的一种有前景的工具。

CytoSorb® Hemoadsorption as a Promising Tool to Handle COVID-19-Induced Cytokine Storm.

作者信息

Acevedo Alice-Christin, Zoller Michael, Scharf Christina, Liebchen Uwe, Irlbeck Michael, Schroeder Ines

机构信息

Department of Anesthesiology, LMU Hospital, Ludwig Maximilians University, Munich, Germany.

出版信息

Case Rep Crit Care. 2021 Oct 12;2021:9937499. doi: 10.1155/2021/9937499. eCollection 2021.

Abstract

Accumulating evidence suggests that a patient subgroup with severe COVID-19 develops a cytokine release syndrome leading to capillary leakage and organ injury. Recent publications addressing therapy of cytokine storms recommended new extracorporeal therapies such as hemoadsorption. This case report describes a 59-year-old SARS-CoV-2-positive patient with severe ARDS. Due to severe hyperinflammation with concomitant hemodynamic instability and progressive renal failure, combination of continuous renal replacement and CytoSorb® hemoadsorption therapy was initiated. Treatment resulted immediately in a control of the hyperinflammatory response. Simultaneously, lung function continued to improve accompanied by profound hemodynamic stabilization. We report the successful utilization of CytoSorb® hemoadsorption in the treatment of a patient with SARS-CoV-2-induced cytokine storm syndrome.

摘要

越来越多的证据表明,患有重症COVID-19的患者亚组会出现细胞因子释放综合征,导致毛细血管渗漏和器官损伤。最近关于细胞因子风暴治疗的出版物推荐了新的体外治疗方法,如血液吸附。本病例报告描述了一名59岁的严重急性呼吸窘迫综合征(ARDS)且SARS-CoV-2呈阳性的患者。由于严重的炎症反应伴血流动力学不稳定和进行性肾衰竭,开始采用持续肾脏替代治疗和CytoSorb®血液吸附疗法相结合的治疗方法。治疗立即控制了炎症反应。同时,肺功能持续改善,血流动力学显著稳定。我们报告了成功使用CytoSorb®血液吸附疗法治疗一名患有SARS-CoV-2诱导的细胞因子风暴综合征患者的案例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb05/8510828/2874f5d29ae0/CRICC2021-9937499.001.jpg

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