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通过静脉-动脉体外膜肺氧合成功治疗2019冠状病毒病继发的系统性毛细血管渗漏综合征,其病程类似暴发性心肌炎。

Successful Management of Systemic Capillary Leak Syndrome Secondary to Coronavirus Disease 2019 Mimicking the Course of Fulminant Myocarditis by Venous-arterial Extracorporeal Membrane Oxygenation.

作者信息

Nobata Kanji, Ueki Yuta, Namba Yusuke, Kawai Yusuke

机构信息

Department of Cardiovascular Medicine, Okayama City Hospital, Japan.

出版信息

Intern Med. 2025 Mar 15;64(6):865-869. doi: 10.2169/internalmedicine.4677-24. Epub 2025 Jan 3.

Abstract

We herein report a case of systemic capillary leak syndrome (SCLS) attributed to coronavirus disease (COVID-19) that emerged in 2019. A 56-year-old woman presented with a COVID-19 infection 7 days prior to the visit with upper respiratory symptoms, fatigue, and decreased appetite. Secondary SCLS due to COVID-19 was diagnosed, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was initiated as mechanical support, and intravenous immunoglobulin was administered, marking the transition to the recovery phase with the initiation of fluid resuscitation. This case is noteworthy for successfully employing VA-ECMO in treating secondary SCLS due to COVID-19, mimicking the course of fulminant myocarditis.

摘要

我们在此报告一例2019年出现的由冠状病毒病(COVID-19)引起的系统性毛细血管渗漏综合征(SCLS)病例。一名56岁女性在就诊前7天出现COVID-19感染,伴有上呼吸道症状、疲劳和食欲减退。诊断为COVID-19所致继发性SCLS,启动静脉-动脉体外膜肺氧合(VA-ECMO)作为机械支持,并给予静脉注射免疫球蛋白,随着液体复苏的开始,标志着进入恢复期。该病例值得注意的是成功应用VA-ECMO治疗COVID-19所致继发性SCLS,其病程类似暴发性心肌炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b1/11986304/6c02644bfeba/1349-7235-64-0865-g001.jpg

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