摘要
脓毒性休克一直是困扰人们的难题,具有极高的发病率和病死率。经过几十年的发展,对脓毒性休克的病理生理学及临床方面取得了极大的进展,拯救脓毒症运动指南提供了一个合适的方案来指导治疗,使脓毒性休克被更早期地识别,其病死率有所下降。但仍存在许多问题,如难治性脓毒性休克(RSS)、多器官功能衰竭等。近10年来,体外膜肺氧合(ECMO)技术在危重症患者救治中的应用越来越多,ECMO能否作为RSS的一种挽救性治疗措施被越来越多地思考。现报告本科采用ECMO成功救治1例RSS患者的体会。对于RSS,建议ECMO可作为一个值得考虑的选择,为ECMO治疗RSS提供一些实践经验。
Septic shock has always been a challenging problem for people,with a high incidence rate and mortality.After decades of development,significant progress has been made in the pathophysiology and clinical aspects of septic shock.The"Surviving Sepsis Campaign"guidelines provide a suitable approach to directing treatment,enabling earlier recognition of septic shock and reducing its mortality rate.However,there are still many challenges,such as refractory septic shock(RSS)and multiple organ failure.Over the past decade,extracorporeal membrane oxygenation(ECMO)technology has been increasingly applied in the treatment of critically ill patients.Whether ECMO can be considered as a salvage treatment for RSS is increasingly being considered.This report presents the experience of successfully treating a patient with RSS using ECMO in our department.For the management of RSS,it is recommended to consider ECMO as a worthwhile option,providing some practical experience for the treatment of RSS with ECMO.
作者
张雪梅
王春霞
郭留学
周任杰
高培阳
Zhang Xuemei;Wang Chunxia;Guo Liuxue;Zhou Renjie;Gao Peiyang(Department of Critical Care Medicine,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Sichuan,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
2024年第2期242-244,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
国家自然科学基金(81873298)。
关键词
体外膜肺氧合
难治性脓毒性休克
治疗体会
Extracorporeal membrane oxygenation
Refractory septic shock
Case report