Successful cure of a patient with urosepsis using a combination of extracorporeal membrane oxygenation and continuous renal replacement therapy: A case report and literature review / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 372-375, 2020.
Article
Dans Anglais
| WPRIM
| ID: wpr-879651
ABSTRACT
Holmium laser lithotripsy (HLL) is one of the common surgical methods for urolithiasis. It causes minor surgical trauma, but complications are not rare. Extracorporeal membrane oxygenation (ECMO) treatment of sepsis is common, but venoarterial (VA)-ECMO treatment of urosepsis has not been reported yet. In this article, we reported a 67-year-old female patient with refractory septic shock caused by HLL under percutaneous nephroscope, involving breathing, heart, kidney and other organs, and organs support treatment was ineffective for the patient. Finally, we successfully treated the patient under VA-ECMO with continuous renal replacement therapy (CRRT). Combined ECMO and CRRT may provide a solution for addressing refractory sepsis. Here we present the case and review relevant literature, so as to provide a treatment strategy for patients with refractory urogenic sepsis and to reduce the mortality rate.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Complications postopératoires
/
Choc septique
/
Infections urinaires
/
Oxygénation extracorporelle sur oxygénateur à membrane
/
Résultat thérapeutique
/
Traitement substitutif de l'insuffisance rénale
/
Lithotritie par laser
/
Urolithiase
/
Lasers à solide
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Chinese Journal of Traumatology
Année:
2020
Type:
Article
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