一名脓毒症肺肾受累患者的血液滤过和体外二氧化碳排出:病例报告

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引用次数: 0

摘要

急性呼吸窘迫综合征(ARDS)以急性低氧血症性呼吸衰竭为特征,与不利的临床结果相关。急性呼吸窘迫综合征与急性肾损伤密切相关,两者有不同的机制,包括生物创伤。在脓毒症患者中,这两种情况很常见,因此出现了肺和肾支持策略。这里我们介绍一例 54 岁的男性患者,阑尾炎术后并发吸入性肺炎、脓毒性休克、急性肾损伤和 ARDS,作为支持措施,需要结合体外二氧化碳清除和持续肾脏替代治疗,以达到保护性通气参数和逐步缓解多器官功能障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hemodiafiltración y eliminación extracorpórea de CO2 en un paciente con compromiso pulmonar y renal por sepsis: reporte de caso

Acute respiratory distress syndrome (ARDS) is characterized by acute hypoxemic respiratory failure and is associated with unfavorable clinical outcomes. It is closely related to acute kidney injury by different mechanisms, including biotrauma. In patients with sepsis, it is common to find these two entities, so pulmonary and renal support strategies have emerged. Here we present the case of a 54-year-old male patient, postoperative appendectomy who as a complication developed aspiration pneumonia, septic shock, acute kidney injury and ARDS, as support measures required the combination of extracorporeal CO2 removal and continuous renal replacement therapy, achieving protective ventilation parameters and progressive resolution of multiple organ dysfunction.

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