Veno-venous-extracorporeal membrane oxygenation treatment for severe capillary leakage syndrome: A case report
作者机构：Department of EICUGuangxi Guigang People’s HospitalGuigang 537100Guangxi Zhuang Autonomous RegionChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第33期
页 面：10273-10278页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Capillary leakage syndrome Pesticide poisoning Liquid resuscitation Hypoxia index Extracorporeal membrane oxidation Case report
摘 要：BACKGROUND Capillary leak syndrome(CLS)is characterized by the leakage of large amounts of fluid and plasma proteins into the interstitial space,resulting in hypoalbuminemia,hypovolemic shock,elevated blood concentration,systemic progressive edema,and multiple serosal cavity *** syndromes such as cavity effusion pose a grave threat to the life and health of the *** SUMMARY A 58-year-old female patient was admitted to the hospital after being in a coma for 6 h following accidental ingestion of a *** was treated with phencyclidine hydrochloride and pralidoxime iodide for detoxification,mechanical ventilation to maintain oxygen supply,continuous renal replacement therapy to maintain the internal environment,and hemoperfusion to promote the excretion of *** also received a transfusion of red blood cells and massive fluid ***,her blood pressure was not *** patient was diagnosed with CLS due to pesticide *** was difficult to maintain under full ventilator support;therefore,veno-venous-extracorporeal membrane oxygenation(VV-ECMO)treatment was given 13 h after *** oxygenation level improved,but a large amount of ascites and pleural effusion soon became *** continued drainage with an indwelling drainage tube,and the ECMO flow *** leakage gradually decreased,and ECMO was discontinued 3 d *** the 6th day,the patient recovered from unconsciousness,but on gastroscopic evaluation,severe erosions were found in her entire *** the family’s consent,treatment was stopped,and the patient was discharged from the hospital on the 7th *** ECMO,liquid resuscitation and management,and improvement in plasma colloidal osmotic pressure,circulation,and tissue oxygen supply are crucial in treating CLS.
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