停乳链球菌感染导致吸脂填充术后脓毒性休克一例

A case of septic shock caused by Streptococcus dysgalactiae after liposuction and fat grafting

2019年6月5日,1例36岁女性患者就诊于中国医学科学院整形外科医院,进行吸脂和脂肪填充术,术后8 h发生停乳链球菌感染导致的脓毒性休克。由于发现较早和及时抢救治疗,并转往北京协和医院,经急诊科、整形外科、ICU等多科室联合治疗,虽然患者病情凶险而反复,但最终得以成功救治,痊愈出院。作者对患者抢救和治疗的经过作了详细回顾,并对此类脓毒性休克的治疗经验进行了总结。

June 5,2019,a 36-year-old female was diagnosed with septic shock caused by Streptococcus dysgalactiae infection eight hours after liposuction and fat grafting in Plastic Surgery Hospital,Chinese Academy of Medical Sciences.As the symptoms were identified early,the patient received immediate treatment and was transferred to Peking Union Medical College Hospital.After multi-disciplinary coordination of departments of emergency,plastic surgery,and ICU,the septic status was finally resolved and the patient was discharged after a 103-day hospital stay.The authors reviewed the course of the treatment in detail and our experience in dealing with the special kind of toxic septic shock.