气道、呼吸、循环与登革热：一例因严重创伤和重症登革热感染导致的多因素休克病例。
Airway breathing circulation dengue: a case of multifactorial shock due to major trauma and severe dengue infection.
作者信息
Hoang Bui Hai, Tang Thomas Vu, Phan Nguyen Dai Nghia, Nguyen Anh Dung, Dinh Michael Minh Quoc
机构信息
Emergency and Critical Care, Hanoi Medical University Hospital, Hanoi, Vietnam.
Hanoi Medical University, Hanoi, Vietnam.
出版信息
Int J Emerg Med. 2024 Jul 16;17(1):90. doi: 10.1186/s12245-024-00673-7.
BACKGROUND
Dengue is the most common arboviral illness reported globally, endemic to most tropical and sub-tropical regions of the world. Dengue Shock Syndrome is a rare complication of severe Dengue infection resulting in haemorrhagic complications and refractory hypotension. We report on a case of severe dengue diagnosed in a patient with major trauma and illustrate some of the potential challenges and considerations in the clinical management of such cases.
CASE PRESENTATION
A 49-year-old female presented following a road trauma incident with multiple abdominal injuries requiring urgent laparotomy. Her recovery in Intensive Care Unit was complicated by the development of Dengue Shock Syndrome characterised by a falling haemoglobin and platelet count, multiorgan dysfunction and prolonged hospital stay.
CONCLUSIONS
Dengue Shock Syndrome may complicate fluid management and bleeding control in major trauma cases. Awareness of Dengue, particularly in endemic areas and returned travellers may help facilitate early diagnosis and management of complications.
背景
登革热是全球报告的最常见虫媒病毒病，在世界大多数热带和亚热带地区流行。登革热休克综合征是严重登革热感染的一种罕见并发症，可导致出血并发症和难治性低血压。我们报告一例在严重创伤患者中诊断出的严重登革热病例，并阐述此类病例临床管理中的一些潜在挑战和注意事项。
病例介绍
一名49岁女性在道路创伤事件后出现多处腹部损伤，需要紧急剖腹手术。她在重症监护病房的恢复因登革热休克综合征的发生而复杂化，其特征为血红蛋白和血小板计数下降、多器官功能障碍以及住院时间延长。
结论
登革热休克综合征可能使严重创伤病例的液体管理和出血控制复杂化。对登革热的认识，特别是在流行地区和归国旅行者中，可能有助于促进并发症的早期诊断和管理。
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