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Veno-venous-extracorporeal membrane oxygenation treatment for severe capillary leakage syndrome: A case report

World Journal of Clinical Cases 2021年第33期9卷 10273-10278页

作者： Wei-Xin Nong Qing-Jie Lv Ye-Sheng Lu Department of EICU Guangxi Guigang People’s HospitalGuigang 537100Guangxi Zhuang Autonomous RegionChina

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.

关键词： Capillary leakage syndrome Pesticide poisoning Liquid resuscitation hypoxia index Extracorporeal membrane oxidation Case report

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