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采用体外膜肺氧合和持续肾脏替代疗法成功治疗高毒力引起的急性呼吸窘迫综合征:一例报告及文献综述。

Successful treatment of acute respiratory distress syndrome caused by hypervirulent with extracorporeal membrane oxygenation and continuous renal replacement therapy: A case report and literature review.

作者信息

Peng Wenzhong, Wu Yanhao, Lu Rongli, Zheng Yunpeng, Chen Jie, Pan Pinhua

机构信息

Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, China.

Center of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, China.

出版信息

Front Med (Lausanne). 2022 Aug 24;9:936927. doi: 10.3389/fmed.2022.936927. eCollection 2022.

Abstract

Hypervirulent (hvKP) causes invasive infections and leads to high morbidity and mortality rates. Here, we report the case of a Chinese man with diabetes mellitus who developed acute respiratory distress syndrome and septic shock due to hvKP belonging to the K1 strain. The patient was treated with venovenous extracorporeal membrane oxygenation and continuous renal replacement therapy, in combination with antibiotics and recovered well. Clinicians should be aware of fatal infections caused by hvKP and investigate the best treatment options for patients at various stages of infection.

摘要

高毒力肺炎克雷伯菌(hvKP)可引发侵袭性感染,并导致高发病率和死亡率。在此,我们报告一例患有糖尿病的中国男性病例,该患者因感染K1菌株的hvKP而发展为急性呼吸窘迫综合征和感染性休克。患者接受了静脉-静脉体外膜肺氧合和持续肾脏替代治疗,并联合使用抗生素,恢复良好。临床医生应意识到hvKP引起的致命感染,并探索针对感染各阶段患者的最佳治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9989/9449315/f9a3d5fb6a5b/fmed-09-936927-g0001.jpg

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