血液吸附联合持续静脉-静脉血液透析滤过治疗大肠杆菌感染合并严重糖尿病酮症酸中毒相关横纹肌溶解1例

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Journal of International Medical Research Pub Date : 2025-05-01 Epub Date: 2025-05-15 DOI:10.1177/03000605251337905
Xiaochun Zhou, Xu Li, Yingying Yang, Fang Wang, Ling Zhang, Ping Fu
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引用次数: 0

摘要

在此,我们报告一个罕见而复杂的临床病例,患者尿路感染导致地面大肠杆菌败血症,严重的糖尿病酮症酸中毒和严重的横纹肌溶解。患者因发热、精神行为异常、内环境紊乱和急性肾损伤入院,医生对其进行了全面评估,以确定严重横纹肌溶解的潜在原因,包括大肠杆菌感染和代谢紊乱。经补液复苏、抗感染药物、血液吸附联合持续静脉静脉血液透析过滤治疗后,患者病情好转,肾功能恢复,停止血液透析治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hemoadsorption combined with continuous venovenous hemodialyfiltration in a patient with Escherichia coli infection and severe diabetic ketoacidosis-associated rhabdomyolysis: A case report.

Herein, we present a rare and complex clinical case of a patient with urinary tract infection leading to ground Escherichia coli sepsis, severe diabetic ketoacidosis, and severe rhabdomyolysis. The patient was admitted to the hospital with fever, abnormal mental behavior, disturbances in the internal environment, and acute kidney injury and was thoroughly evaluated by physicians to determine the underlying causes of severe rhabdomyolysis, including Escherichia coli infection and metabolic disturbances. After treatment with rehydration resuscitation, anti-infective agents, and hemoadsorption combined with continuous venovenous hemodialyfiltration, the patient's condition improved, renal function was restored, and hemodialysis treatment was discontinued.

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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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